NPIMap

Organization Active NPI

A-1 Northwest la Incs, LLC

  • Point of Service
  • Ruston, LA
National Provider Identifier
1073638516
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
11882 Issued in LA
Legal business name
A-1 NORTHWEST LA INCS, LLC
Practice address
103 W Alabama Ave
Ruston, LA 71270-4403
Phone
(318) 636-0390
Fax
(318) 635-3298
NPI assigned
Mar 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Cindy S Parker, R.N.
Title
Regional Coordinator
Phone
(318) 636-0390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 11882 LA Primary

Addresses

Primary practice location

103 W Alabama Ave
Ruston, LA 71270-4403

Mailing address

PO Box 1345
Ruston, LA 71273-1345
Phone (318) 636-0390

Other identifiers 1

IdentifierTypeStateIssuer
1714704MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
A-1 Northwest la Incs LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

103 W Alabama Ave
Ruston, LA 71270
Phone (318) 513-9038

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073638516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1345",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712731345",
            "telephone_number": "318-636-0390",
            "fax_number": "318-635-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W ALABAMA AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712704403",
            "telephone_number": "318-636-0390",
            "fax_number": "318-635-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A-1 NORTHWEST LA INCS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "REGIONAL COORDINATOR",
        "authorized_official_telephone_number": "318-636-0390",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "LA",
            "license": "11882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1714704",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.