DIANE KRAMER GORDON R.N.M.S.N.C.P.N.P. NPI 1841477726

NPI Information

NPI: 1841477726
Provider Name: DIANE KRAMER GORDON, R.N.,M.S.N.,C.P.N.P.
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
500 PATTERSON ST
LAFAYETTE, LA
ZIP 70501
Phone: (337) 439-9983
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Diane Kramer Gordon, R.N.,M.S.N.,C.P.N.P. is a pediatrics nurse practitioner in Lafayette, LA. Diane Kramer Gordon, R.N.,M.S.N.,C.P.N.P. NPI is 1841477726. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

500 PATTERSON ST
LAFAYETTE, LA
ZIP 70501-849
Phone: (337) 439-9983
Fax: (337) 310-1161

The NPI 1841477726 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/23/2008 and was last updated on 6/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		0024000058	VIRGINIA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	AP06671	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2164660	MEDICAID	LOUISIANA
2	257147YJA2	MEDICARE PIN	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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