LAFAYETTE KIDNEY CARE LLC (NPI# 1689103335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689103335 |
| Entity Type | Organization |
| Organization Name | LAFAYETTE KIDNEY CARE LLC |
| Practice Address |
201 4th St Ste 5a Alexandria LA 71301-8421 |
| Mailing Address |
301 4th St Ste 30104 Alexandria LA 71301-8420 |
| Practice Telephone | 3184831961 |
| Practice Fax Number | 3184831964 |
| Mailing Telephone | 3184831961 |
| Mailing Fax Number | 3184831964 |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | JAMES HILL (VP OF OPERATIONS) |
| Authorized Official Telephone | 7046510795 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2460960 | 05 |
| Street Address |
201 4TH ST STE 5A |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301-8421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215233192 | Mitul Natu Patel | Internal Medicine | 201 4th St Ste 5a, Alexandria, LA 71301-8421 | 2011-02-09 |
| 1598244006 | Nicole Guillory | Nurse Practitioner | 201 4th St Ste 5a, Alexandria, LA 71301 | 2018-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
| Find all providers in zip 71301 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114489929 | Cenla Kidney Specialists LLC | Internal Medicine | 6412 Genevieve Dr, Alexandria, LA 71301-2789 | 2019-04-01 |
| 1073784955 | James Andrew Morock Sr. | Internal Medicine | 3915 Maywood St, Alexandria, LA 71302-2526 | 2008-03-18 |
| 1033271382 | Tariq Rehman | Internal Medicine | 4141a Duke St, Alexandria, VA 22304-2415 | 2006-12-14 |
| 1629021530 | V. Bala Subramanian | Internal Medicine | 4141 Duke St, Alexandria, VA 22304-2415 | 2006-05-19 |
| 1164411815 | Khaldoun Soudan | Internal Medicine | 2220 Worley Dr, Alexandria, LA 71301-3600 | 2005-10-17 |
| 1437518586 | Primea Health P. C. | Internal Medicine | 2616 Sherwood Hall Ln, #205, Alexandria, VA 22306-3100 | 2016-02-17 |
| 1992972152 | Rajat Gulati | Internal Medicine | 201 4th St, 5a, Alexandria, LA 71301-8421 | 2008-05-15 |
| 1770537870 | Hassan Shahin | Internal Medicine | 4141 Duke St, Alexandria, VA 22304-2415 | 2006-05-22 |
| 1295728087 | Mark Matthew Wilson | Internal Medicine | 1337 Centre Ct, Alexandria, LA 71301 | 2005-08-26 |
| 1467445304 | Kendall Trevor From Jr. | Internal Medicine | 176 Versailles Blvd, Alexandria, LA 71303-2493 | 2005-08-25 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71301 |
Please comment or provide details below to improve the information on LAFAYETTE KIDNEY CARE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.