Active NPI
Tamara Marie Branch, TRANSPORTAION
- Driver
- Avondale, LA
National Provider Identifier
1063153120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 731556677
- Practice address
- 361 Layman St
Avondale, LA 70094-2561 - Phone
- (504) 516-5736
- Fax
- (504) 345-2928
- NPI assigned
- Apr 5, 2022
- Last updated
- Apr 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 731556677 | LA | Primary |
Addresses
Primary practice location
361 Layman St
Avondale, LA 70094-2561
Mailing address
361 Layman St
Avondale, LA 70094-2561
Phone (504) 516-5736
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
| License | State | Type | Specialty |
|---|---|---|---|
| 731556677 | LA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649116800000",
"number": "1063153120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 LAYMAN ST",
"city": "AVONDALE",
"state": "LA",
"postal_code": "700942561",
"telephone_number": "504-516-5736",
"fax_number": "504-345-2928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "361 LAYMAN ST",
"city": "AVONDALE",
"state": "LA",
"postal_code": "700942561",
"telephone_number": "504-516-5736",
"fax_number": "504-345-2928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANCH",
"first_name": "TAMARA",
"middle_name": "MARIE",
"credential": "TRANSPORTAION",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2022-04-05",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "LA",
"license": "731556677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avondale, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.