Active NPI
Jonell Perkins
- Basic Emergency Medical Technician
- Independence, LA
National Provider Identifier
1104588474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- Practice address
- 16641 School Rd
Independence, LA 70443-2027 - Phone
- (504) 875-7807
- NPI assigned
- Oct 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | Primary |
Addresses
Primary practice location
16641 School Rd
Independence, LA 70443-2027
Mailing address
16641 School Rd
Independence, LA 70443-2027
Phone (504) 875-7807
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XHB716497993 | Medicaid | LA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1104588474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16641 SCHOOL RD",
"city": "INDEPENDENCE",
"state": "LA",
"postal_code": "704432027",
"telephone_number": "504-875-7807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16641 SCHOOL RD",
"city": "INDEPENDENCE",
"state": "LA",
"postal_code": "704432027",
"telephone_number": "504-875-7807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "JONELL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-13",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XHB716497993",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Independence, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.