Active NPI
Lavon Machell Rhodes
- Driver
- Bossier City, LA
National Provider Identifier
1093537532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- 010073009
- Practice address
- 5901 E Texas St Lot 47
Bossier City, LA 71111-6978 - Phone
- (318) 762-6231
- NPI assigned
- Oct 28, 2024
- 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 | 010073009 | LA | Primary |
Addresses
Primary practice location
5901 E Texas St Lot 47
Bossier City, LA 71111-6978
Mailing address
5901 E Texas St Lot 47
Bossier City, LA 71111-6978
Phone (318) 762-6231
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 |
|---|---|---|---|
| 010073009 | LA | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1093537532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 E TEXAS ST LOT 47",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711116978",
"telephone_number": "318-762-6231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 E TEXAS ST LOT 47",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711116978",
"telephone_number": "318-762-6231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "LAVON",
"middle_name": "MACHELL",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-28",
"last_updated": "2024-10-28",
"certification_date": "2024-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "LA",
"license": "010073009",
"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 Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.