NPIMap

Organization Active NPI

Independent Staffer, LLC

  • Non-emergency Medical Transport (VAN)
  • Shreveport, LA
National Provider Identifier
1053671073
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
006968664 Issued in LA
Legal business name
INDEPENDENT STAFFER, LLC
Practice address
6201 Bert Kouns Industrial Loop
Lot263
Shreveport, LA 71129-5056
Phone
(318) 220-8631
Fax
(318) 220-8631
NPI assigned
May 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Authorized official

Name
Ms. Kimberly Ann Jefferson
Title
Owner
Phone
(318) 220-8631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 006968664 LA Primary

Addresses

Primary practice location

6201 Bert Kouns Industrial Loop
Lot263
Shreveport, LA 71129-5056

Mailing address

6201 Bert Kouns Industrial Loop
Lot263
Shreveport, LA 71129-5056
Phone (318) 220-8631

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1053671073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 BERT KOUNS INDUSTRIAL LOOP",
            "address_2": "LOT263",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711295056",
            "telephone_number": "318-220-8631",
            "fax_number": "318-220-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 BERT KOUNS INDUSTRIAL LOOP",
            "address_2": "LOT263",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711295056",
            "telephone_number": "318-220-8631",
            "fax_number": "318-220-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT STAFFER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-220-8631",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": "006968664",
            "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 May 23, 2012; 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.