Infinity Family Health Clinic, LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

04826 Issued in LA

Legal business name

INFINITY FAMILY HEALTH CLINIC, LLC

Practice address

2034 Myrtle St.
Arcadia, LA 71001

Phone

(318) 325-6200

NPI assigned

Oct 19, 2016

Last updated

Oct 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brittney Whitlock

Title

Credentialing Specialist

Phone

(318) 325-6200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashley Simpson Thomas, FNP

  • Family Nurse Practitioner
  • Homer, LA
  • NPI 1497787691
  Medicare reassignment NPD

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1093266629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "ARCADIA",
            "state": "LA",
            "postal_code": "710010038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2034 MYRTLE ST.",
            "city": "ARCADIA",
            "state": "LA",
            "postal_code": "71001",
            "telephone_number": "318-325-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY FAMILY HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "WHITLOCK",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "318-325-6200"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "04826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Donyetta Patrice Jackson
• Eric Johnson
• Shalena Johnson
• Elisia Jones
• Markeona Jones

• Nurse Practitioner in Arcadia, LA
• Providers in Arcadia, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.