Individual provider Active NPI

Moriah McKenna Strother

  • Student in an Organized Health Care Education/Training Program
  • Thibodaux, LA
National Provider Identifier
1013385632
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
058123845 Issued in GA
Practice address
906 E 1St St
Thibodaux, LA 70310-3730
Phone
(985) 448-4837
NPI assigned
Sep 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 058123845 GA Primary

Addresses

Primary practice location

906 E 1St St
Thibodaux, LA 70310-3730

Mailing address

330 Morning Mist Walk
Suwanee, GA 30024-3730
Phone (770) 361-0088

Other practice location 1

330 Morning Mist Walk
Suwanee, GA 30024-3730
Phone (770) 361-0088

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

LicenseStateTypeSpecialty
058123845GAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013385632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 MORNING MIST WALK",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243730",
            "telephone_number": "770-361-0088",
            "fax_number": "860-239-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 E 1ST ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703103730",
            "telephone_number": "985-448-4837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Morning Mist Walk",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300243730",
            "country_code": "US",
            "telephone_number": "770-361-0088",
            "fax_number": "860-239-8538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STROTHER",
        "first_name": "MORIAH",
        "middle_name": "MCKENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "058123845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.