Audrey M Phillips

Primary specialty

DriverTaxonomy code 172A00000X

License

010925841 Issued in LA

Practice address

1499 Central Park Blvd Unit 1428
Harvey, LA 70058-3691

Phone

(340) 227-2662

NPI assigned

Jul 13, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Amp Lifts LLC

  • Non-emergency Medical Transport (VAN)
  • Harvey, LA
  • NPI 1841077526
  NPD Authorized official

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1104505684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 CENTRAL PARK BLVD UNIT 1428",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700583691",
            "telephone_number": "340-227-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 CENTRAL PARK BLVD UNIT 1428",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700583691",
            "telephone_number": "340-227-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "AUDREY",
        "middle_name": "M",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "LA",
            "license": "010925841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perseverance Excellence Courage Community Medical Tran.Service LLC
• Linda Pham, DC
• Tuong-VI Vivian Pham
• Vincent Pham, DDS
• Latasha Phelps, MS
• Phlebotomy Express Services, LLC
• Tanya Lynette Pierre, LCSW
• Kimberlin Diane Pittman, PMHNP-BC
• Brandi Plaisance, LCSW
• Tonya Michelle Plaisance, LPC

• Driver in Harvey, LA
• Providers in Harvey, LA by specialty
• Driver in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.