Moss Street Medical Clinic Inc
NPI 1417085192 · Medical Physician Assistant · Lafayette, LA
Moss Street Medical Clinic Inc is a Medical Physician Assistant organization in Lafayette, LA (NPI 1417085192).
Provider details
- NPI number
- 1417085192
- Entity type
- Organization
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Rickie Johnson, Owner(337) 232-3371
- License
- A10226 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-02
- Last updated
- 2020-08-22
Frequently asked questions
- What is Moss Street Medical Clinic Inc's NPI number?
- Moss Street Medical Clinic Inc's National Provider Identifier (NPI) is 1417085192, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moss Street Medical Clinic Inc?
- Moss Street Medical Clinic Inc is classified in the NPPES registry as Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Moss Street Medical Clinic Inc located?
- Moss Street Medical Clinic Inc's practice location on file with NPPES is 1417 Moss St, Lafayette, LA 70501-3654.
- What is Moss Street Medical Clinic Inc's phone number?
- The practice phone number listed in the NPPES registry for Moss Street Medical Clinic Inc is (337) 232-3371.
- Who is the authorized official for Moss Street Medical Clinic Inc?
- The authorized official listed on Moss Street Medical Clinic Inc's NPPES record is Rickie Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moss Street Medical Clinic Inc's NPI active?
- Yes — Moss Street Medical Clinic Inc's NPI (1417085192) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.