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KIDNEY CARE OF LOUISIANA
NPI 1689103335
Internal Medicine - Nephrology in Alexandria, LA

Active since June 07, 2017CLIA 19D2145939 · Waiver
201 4TH ST STE 5A, ALEXANDRIA, LA 71301(318) 483-1961(318) 483-1964 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2024, Jul 17, 2024, Apr 3, 2020 and 3 more (6 updates tracked since 2017).

About Kidney Care Of Louisiana NPPES

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

KIDNEY CARE OF LOUISIANA (NPI 1689103335) is a healthcare organization registered as a nephrology in Alexandria, Louisiana and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through March 18, 2028, maintains 2 additional practice locations, and lists Ryan Valle, President, as its authorized official.

NPPES Registry Identity

NPI1689103335
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameLAFAYETTE KIDNEY CARE LLC
Location Address201 4TH ST STE 5AAlexandria, LA 71301-8421
Mailing Address301 4th St Ste 30105Alexandria, LA 71301-8420 · (318) 483-1961 · Fax (318) 483-1964
Phone(318) 483-1961
Fax(318) 483-1964
Organization SubpartNo
Authorized OfficialRyan VallePresident · (781) 699-9362
Enumeration DateJune 7, 2017
Last NPPES UpdateJuly 24, 20246 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1689103335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
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.
201 4TH ST STE 5A, Alexandria, LA 71301
Open in Google Maps ↗

Other Names 1

Doing Business AsKidney Care Of Louisiana

Secondary Practice Locations 2

Location 1603 W Court StWinnfield, LA 71483-2633 · Phone (318) 483-1961 · Fax (318) 483-1964
Location 2118 South Dr Ste 300Natchitoches, LA 71457-5037 · Phone (318) 483-1961 · Fax (318) 483-1964

Other Identifiers 1

Medicaid2460960LA

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 19D2145939

Kidney Care Of Louisiana Lafayette Kidney Care, LLC · Alexandria, LA
Active · expires Mar 18, 2028
CLIA Number19D2145939
Laboratory TypePhysician Office
Certificate Effective DateMarch 19, 2026
Certificate Expiration DateMarch 18, 2028
Laboratory DirectorRobin Bennett
Laboratory Phone(318) 483-1961
Laboratory LocationKidney Care Of Louisiana Lafayette Kidney Care, LLC201 4th Street, Auite 5A, Alexandria, LA 71301
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ALISE H DOZIER FNP
Nurse Practitioner
201 4TH ST STE 5A
ALEXANDRIA, LA 71301
Rapides Parish (318) 483-1961
RICKY DALE HENDRIX M.D.
Specialist
201 4TH ST STE 5A
ALEXANDRIA, LA 71301
Rapides Parish (318) 483-1961
MACY DUNBAR DAUZAT
Internal Medicine (Nephrology)
201 4TH ST STE 5A
ALEXANDRIA, LA 71301
Rapides Parish (318) 483-1961
ROBIN RAY BENNETT M.D.
Internal Medicine (Nephrology)
201 4TH ST STE 5A
ALEXANDRIA, LA 71301
Rapides Parish (318) 483-1961
MUHANNAD ALQUDSI MD
Internal Medicine (Nephrology)
201 4TH ST STE 5A
ALEXANDRIA, LA 71301
Rapides Parish (318) 483-1961
DR. GOUTHAM TALLURI
Internal Medicine (Nephrology)
201 4TH ST STE 5A
ALEXANDRIA, LA 71301
Rapides Parish (318) 483-1961
NICOLE GUILLORY NP
Nurse Practitioner
201 4TH ST STE 5A
ALEXANDRIA, LA 71301
Rapides Parish (318) 483-1961
MIKQENYA JOHNSON NP
Nurse Practitioner
201 4TH ST STE 5A
ALEXANDRIA, LA 71301
Rapides Parish (318) 512-2804

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 Lafayette Kidney Care LLC's NPI number?

The NPI number for Lafayette Kidney Care LLC is 1689103335. It was assigned to this organization in the NPPES registry on June 7, 2017. The provider is doing business as Kidney Care Of Louisiana.

Where is Lafayette Kidney Care LLC located?

Lafayette Kidney Care LLC is located at 201 4th St Ste 5A, Alexandria, LA 71301. The listed phone number is (318) 483-1961.

What is Lafayette Kidney Care LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Lafayette Kidney Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2145939) is associated with this NPI, valid through March 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lafayette Kidney Care LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Lafayette Kidney Care LLC 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 Lafayette Kidney Care LLC was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.