NPIMap

Individual provider Active NPI

Brenda J Primeaux, CLS-G

  • Other Specialist/Technologist
  • Rosepine, LA
National Provider Identifier
1053686451
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Other Specialist/TechnologistTaxonomy code 246Z00000X
License
CLP.G00723-GEN Issued in LA
Practice address
18399 Johnny B Hall Memorial Hwy
Rosepine, LA 70659
Phone
(337) 463-7535
Fax
(337) 202-1897
NPI assigned
Mar 19, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Other Specialist/Technologist 246Z00000X CLP.G00723-GEN LA Primary

Addresses

Primary practice location

18399 Johnny B Hall Memorial Hwy
Rosepine, LA 70659

Mailing address

P.O. Box 1452
18399 Johnny B Hall Memorial Hwy
Rosepine, LA 70659
Phone (337) 463-7535

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
CLP.G00723-GENLAMDOther Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Draw Station LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1053686451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1452",
            "address_2": "18399 JOHNNY B HALL MEMORIAL HWY",
            "city": "ROSEPINE",
            "state": "LA",
            "postal_code": "70659",
            "telephone_number": "337-463-7535",
            "fax_number": "337-202-1897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18399 JOHNNY B HALL MEMORIAL HWY",
            "city": "ROSEPINE",
            "state": "LA",
            "postal_code": "70659",
            "telephone_number": "337-463-7535",
            "fax_number": "337-202-1897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIMEAUX",
        "first_name": "BRENDA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "CLS-G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "LA",
            "license": "CLP.G00723-GEN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosepine, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.