Organization Active NPI

Statonnemt

  • Non-emergency Medical Transport (VAN)
  • Bossier City, LA
National Provider Identifier
1063129344
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
STATONNEMT
Practice address
517 Joannes St
Bossier City, LA 71111-4123
Phone
(972) 754-6708
NPI assigned
Nov 4, 2022
Last updated
Nov 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Authorized official

Name
Yvonne Decarla Staton
Title
Owner
Phone
(972) 754-6708

Specialties & licenses 1

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

Addresses

Primary practice location

517 Joannes St
Bossier City, LA 71111-4123

Mailing address

517 Joannes St
Bossier City, LA 71111-4123
Phone (318) 426-8639

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1667520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667520000000",
    "number": "1063129344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 JOANNES ST",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711114123",
            "telephone_number": "318-426-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 JOANNES ST",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711114123",
            "telephone_number": "972-754-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATONNEMT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "STATON",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "DECARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-754-6708"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.