MEDICARE: DIRECT MEDICAL STAFFING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency
2	251T00000X	PACE Provider Organization

General Provider Information

NPI Number	:	1528762952
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIRECT MEDICAL STAFFING, LLC

Provider Business Mailing Address
First Line	:	109 S COLLEGE RD
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70503-3225
Country	:	US
Telephone Number	:	337-446-4160
Fax Number	:

Provider Business Practice Location Address
First Line	:	109 S COLLEGE RD
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70503-3225
Country	:	US
Telephone Number	:	337-362-4004
Fax Number	:

Authorized Official
Title or Position	:	HR
Name	:	ABBY DOMINGUE
Credential	:
Telephone Number	:	337-446-4160

Provider Enumeration Date	:	03/29/2023
Last Update Date	:	03/29/2023

Similar Medicare Providers

1922230432 — DR. NATHANAEL MARK RICHARDSON D.C.
Practice Location Address:

107 S COLLEGE RD
LAFAYETTE, LA
70503-3225

Practice Phone: 337-234-4987
Practice Fax: 337-237-4515

1063728988 — UNITED MEDICAL STAFFING, INC
Practice Location Address:

109 S COLLEGE RD
LAFAYETTE, LA
70503-3225

Practice Phone: 337-233-2096
Practice Fax:

1386821312 — LOUISIANA CVS PHARMACY LLC
Practice Location Address:

3225 LOUISIANA AVE
LAFAYETTE, LA
70501-1406

Practice Phone: 337-769-7516
Practice Fax: 337-769-7526

1497041156 — TRAM PHUONG DANG PHARM.D.
Practice Location Address:

3225 LOUISIANA AVE
LAFAYETTE, LA
70501-1406

Practice Phone: 337-769-7516
Practice Fax: 337-769-7526

1366739500 — ANDREA M MARTINEZ LANDRY
Practice Location Address:

3225 LOUISIANA AVE , T-2377
LAFAYETTE, LA
70501-1406

Practice Phone: 337-769-7516
Practice Fax: 337-769-7526

1376827535 — CHARLES E MASON III PHARMD
Practice Location Address:

3225 LOUISIANA AVE , T-2377
LAFAYETTE, LA
70501-1406

Practice Phone: 337-769-7516
Practice Fax:

Directions to “DIRECT MEDICAL STAFFING, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.