ST ELIZABETH PHYSICIANS DSME PROGRAM
NPI 1114201399
Health Educator in Gonzales, LA

NPI Status: Active since October 05, 2011

Contact Information

2647 S SAINT ELIZABETH BLVD
GONZALES, LA
ZIP 70737
Phone: (225) 647-8511

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  • Organization
  • Health Educator
  • CLIA Number: 19D1094626
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-30-2027

About ST ELIZABETH PHYSICIANS DSME PROGRAM

This page provides the complete NPI Profile along with additional information for St Elizabeth Physicians Dsme Program, a provider established in Gonzales, Louisiana operating as a Health Educator. The healthcare provider is registered in the NPI registry with number 1114201399 assigned on October 2011. The practitioner's primary taxonomy code is 174H00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. St Elizabeth Physicians Dsme Program operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as St Elizabeth Physicians Dsme Program. The authorized official of this NPI record is John Frederick Fraiche M.d. (President)

NPI
1114201399
Provider Legal Name
OUR LADY OF LAKE ASCENSION, LLC
Other Organization Name
ST ELIZABETH PHYSICIANS DSME PROGRAM
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2647 S SAINT ELIZABETH BLVD GONZALES, LA 70737
Location Phone
(225) 647-8511
Mailing Address
2647 S SAINT ELIZABETH BLVD GONZALES, LA 70737
Mailing Phone
(225) 647-8511
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-05-2011
Last Update Date
10-05-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Health Educator

Taxonomy Code
174H00000X
Type
Other Service Providers
Taxonomy Description
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor's degree and may receive additional training, such as through mentoring, internships, or volunteer work.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN FREDERICK FRAICHE M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(225) 647-8511

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
19D1094626
Facility Type
Physician Office
Certificate Effective Date
May 01, 2025
Certificate Expiration Date
April 30, 2027
Laboratory Director
JAMES V. D ANTONI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to St Elizabeth Physicians Dsme Program to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1114201399, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
1
Doubled → 2
Pos 4
4
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 2 → 4 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 2 + 4 + 4 + 0 + 2 + 3 + 1 + 8 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1114201399.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Pediatrics
2647 S SAINT ELIZABETH BLVD
GONZALES, LA 70737
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2647 S SAINT ELIZABETH BLVD
GONZALES, LA 70737
Dietitian, Registered
2647 S SAINT ELIZABETH BLVD
GONZALES, LA 70737
Internal Medicine (Geriatric Medicine)
2647 S SAINT ELIZABETH BLVD
GONZALES, LA 70737
Psychiatry & Neurology (Neurology)
2647 S SAINT ELIZABETH BLVD, SUITE 225
GONZALES, LA 70737
Internal Medicine
2647 S SAINT ELIZABETH BLVD
GONZALES, LA 70737
Internal Medicine (Pulmonary Disease)
2647 S SAINT ELIZABETH BLVD
GONZALES, LA 70737
Family Medicine (Sports Medicine)
2647 S SAINT ELIZABETH BLVD
GONZALES, LA 70737
Nurse Practitioner (Family)
2647 S SAINT ELIZABETH BLVD
GONZALES, LA 70737
Nurse Practitioner (Family)
2647 S SAINT ELIZABETH BLVD
GONZALES, LA 70737
Internal Medicine
2647 S SAINT ELIZABETH BLVD
GONZALES, LA 70737
Family Medicine (Sports Medicine)
2647 S SAINT ELIZABETH BLVD
GONZALES, LA 70737
Physician Assistant
2647 S SAINT ELIZABETH BLVD, GONZALES
GONZALES, LA 70737
Psychiatry & Neurology (Neurology)
2647 S SAINT ELIZABETH BLVD
GONZALES, LA 70737

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114201399, enumerated as an "organization" on October 05, 2011.

The provider is located at 2647 S SAINT ELIZABETH BLVD GONZALES, LA 70737 and the phone number is (225) 647-8511.

Health Educator with taxonomy code 174H00000X.