Grambling State University

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

GRAMBLING STATE UNIVERSITY

Practice address

403 Main St
Grambling, LA 71245-2715

Phone

(318) 274-2351

NPI assigned

Oct 29, 2013

Last updated

Oct 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Patrice Outley, N.P.

Title

Director of Student Health Services

Phone

(318) 274-2351

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1043648173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 MAIN ST",
            "address_2": "P.O. BOX 4251",
            "city": "GRAMBLING",
            "state": "LA",
            "postal_code": "712452715",
            "telephone_number": "318-274-2351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 MAIN ST",
            "city": "GRAMBLING",
            "state": "LA",
            "postal_code": "712452715",
            "telephone_number": "318-274-2351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAMBLING STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "OUTLEY",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "DIRECTOR OF STUDENT HEALTH SERVICES",
        "authorized_official_telephone_number": "318-274-2351",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Crew
• Suzanne Showntay Douglas Green, PHD
• Gordan Ford
• Lynda Franklin
• Grambling High Foundation (Lincoln Preparatory School)
• Mary L Gray, LCSW
• Lester Herbert
• Darrell Jackson
• Evelyn Jenkins, LCSW
• Warren Johnson Jr., MHS

• Student Health Clinic/Center in Grambling, LA
• Providers in Grambling, LA by specialty
• Student Health Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.