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BAYOU PEDIATRICS
NPI 1629691530
Nurse Practitioner - Pediatrics in West Monroe, LA

Active since May 27, 2020CLIA 19D2191722 · Waiver
2649 ARKANSAS RD, WEST MONROE, LA 71291(318) 376-0275 Get Directions Write a Review

NPPES record last updated: May 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bayou Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAYOU PEDIATRICS (NPI 1629691530) is a healthcare organization registered as a pediatrics in West Monroe, Louisiana and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through August 30, 2026 and lists Cherry M Patton, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1629691530
Entity TypeOrganization
Primary Taxonomy363LP0200X
Legal Business NameBAYOU PEDIATRICS
Location Address2649 ARKANSAS RDWest Monroe, LA 71291-8617
Mailing Address150 Hattaway RdCalhoun, LA 71225-8541 · (318) 376-0275
Phone(318) 376-0275
Organization SubpartNo
Authorized OfficialCherry M PattonOwner/manager · (318) 376-0275
Enumeration DateMay 27, 2020
NPPES CertifiedMay 27, 2020
✔ NPI 1629691530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
2649 ARKANSAS RD, West Monroe, LA 71291
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2191722

Bayou Pediatrics · West Monroe, LA
Active · expires Aug 30, 2026
CLIA Number19D2191722
Laboratory TypePractitioner Other
Certificate Effective DateAugust 31, 2024
Certificate Expiration DateAugust 30, 2026
Laboratory DirectorCherry Patton
Laboratory Phone(318) 599-0255
Laboratory LocationBayou Pediatrics4624 Cypress Street Suite 6, West Monroe, LA 71291
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bayou Pediatrics's NPI number?

The NPI number for Bayou Pediatrics is 1629691530. It was assigned to this organization in the NPPES registry on May 27, 2020.

Where is Bayou Pediatrics located?

Bayou Pediatrics is located at 2649 Arkansas Rd, West Monroe, LA 71291. The listed phone number is (318) 376-0275.

What is Bayou Pediatrics's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Does Bayou Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2191722) is associated with this NPI, valid through August 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bayou Pediatrics accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Bayou Pediatrics as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bayou Pediatrics was last updated on May 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.