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Moss Street Medical Clinic Inc

Medical Physician Assistant in Lafayette, LA · enumerated 2007 · authorized official Rickie Johnson, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417085192

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Registry record

Entity type Organization (Type 2)
Legal business name Moss Street Medical Clinic Inc
Practice address 1417 Moss St, Lafayette, LA, 70501
Fax (337) 232-3511
Enumeration date Mar 2, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License A10226 (LA) Primary

Authorized official

Name Rickie Johnson
Title Owner

Other identifiers

Identifier Type State Issuer
1448397 Medicaid LA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Moss Street Medical Clinic Inc?
The NPI for Moss Street Medical Clinic Inc is 1417085192, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Moss Street Medical Clinic Inc?
NPPES lists Rickie Johnson (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.