Jefferson Street Clinic LLC
NPI 1477289817 · Family Medicine Physician · Lafayette, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jefferson Street Clinic LLC is a Family Medicine Physician organization in Lafayette, LA (NPI 1477289817).
Provider details
- NPI number
- 1477289817
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Beryl Yufenyuy, Nurse Practitioner(240) 481-7672
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Health Service Clinic/Center261QH0100X
Ambulatory Health Care Facilities
- Occupational Medicine Clinic/Center261QX0100X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Other names (DBA / former)
- Doing business as
- Jefferson Street Clinic
- Doing business as
- Jefferson Street Clinic
Registry dates
- Enumerated
- 2022-07-27
- Last updated
- 2022-12-28
- Certified
- 2022-12-28
Frequently asked questions
- What is Jefferson Street Clinic LLC's NPI number?
- Jefferson Street Clinic LLC's National Provider Identifier (NPI) is 1477289817, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jefferson Street Clinic LLC?
- Jefferson Street Clinic LLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jefferson Street Clinic LLC located?
- Jefferson Street Clinic LLC's practice location on file with NPPES is 618 Jefferson Blvd, Lafayette, LA 70501-7206.
- What is Jefferson Street Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Jefferson Street Clinic LLC is (240) 481-7672.
- Does Jefferson Street Clinic LLC accept Medicare?
- Jefferson Street Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jefferson Street Clinic LLC?
- The authorized official listed on Jefferson Street Clinic LLC's NPPES record is Beryl Yufenyuy, Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jefferson Street Clinic LLC's NPI active?
- Yes — Jefferson Street Clinic LLC's NPI (1477289817) is active in the NPPES registry as of the last update on 2022-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.