Active NPI
Eiyana Middleton
- Professional Counselor
- Shreveport, LA
National Provider Identifier
1003380213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7910
- Practice address
- 400 Texas St Ste 550a
Shreveport, LA 71101-3546 - Phone
- (318) 889-3201
- NPI assigned
- Jan 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7910 | LA | Primary |
Addresses
Primary practice location
400 Texas St Ste 550a
Shreveport, LA 71101-3546
Mailing address
400 Texas St Ste 550a
Shreveport, LA 71101-3546
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7910 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680480000000",
"number": "1003380213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 TEXAS ST STE 550A",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711013546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 TEXAS ST STE 550A",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711013546",
"telephone_number": "318-889-3201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLETON",
"first_name": "EIYANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-22",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "7910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.