KIDNEY CARE OF LOUISIANA – NPI #1689103335
Internal Medicine

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.

KIDNEY CARE OF LOUISIANA is a provider located in ALEXANDRIA, LA. NPPES has assigned the NPI number 1689103335 to KIDNEY CARE OF LOUISIANA on June 07, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KIDNEY CARE OF LOUISIANA” is a dba name, the actual legal business name for this organization is LAFAYETTE KIDNEY CARE LLC. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on Jul 24, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KIDNEY CARE OF LOUISIANA below.

NPI Profile for
LAFAYETTE KIDNEY CARE LLC

NPI Number
1689103335
Enumeration Date

(about 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LAFAYETTE KIDNEY CARE LLC
Doing Business As (dba): KIDNEY CARE OF LOUISIANA
Primary location
201 4TH ST STE 5A
ALEXANDRIA, LA 71301-8421
Phone: (318) 483-1961 Fax: (318) 483-1964
2 Other location(s):
118 South Dr Ste 300
Natchitoches, LA 71457-5037
Phone: (318) 483-1961
Fax: (318) 483-1964
603 W Court St
Winnfield, LA 71483-2633
Phone: (318) 483-1961
Fax: (318) 483-1964
Mailing address
301 4TH ST STE 30105
ALEXANDRIA, LA 71301-8420
Phone: (318) 483-1961 Fax: (318) 483-1964
Organization Subpart
No
Authorized Official
RYAN VALLE
PRESIDENT
Phone: (781) 699-9362
Updated
Certification Date
Jul 24, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KIDNEY CARE OF LOUISIANA

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidLA2460960
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.