NPIMap

Organization Active NPI

Natchitoches Outpatient Services

Doing business as Prism Center Natchitoches

  • Physical Therapist
  • Natchitoches, LA
National Provider Identifier
1114003050
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NATCHITOCHES OUTPATIENT SERVICES
Doing business as
Prism Center Natchitoches
Practice address
740 Keyser Ave
Suite E
Natchitoches, LA 71457-6037
Phone
(318) 214-0088
Fax
(318) 214-4493
NPI assigned
Oct 31, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. Gerard R Hebert
Title
Cfo
Phone
(318) 214-4200

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LA Primary
Occupational Therapist 225X00000X LA

Addresses

Primary practice location

740 Keyser Ave
Suite E
Natchitoches, LA 71457-6037

Mailing address

PO Box 2154
Natchitoches, LA 71457-2154
Phone (318) 214-4200

Other identifiers 1

IdentifierTypeStateIssuer
1524069MedicaidLA

Other names 1

  • PRISM CENTER NATCHITOCHES Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1114003050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2154",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714572154",
            "telephone_number": "318-214-4200",
            "fax_number": "318-214-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 KEYSER AVE",
            "address_2": "SUITE E",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576037",
            "telephone_number": "318-214-0088",
            "fax_number": "318-214-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATCHITOCHES OUTPATIENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "GERARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "318-214-4200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1524069",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRISM CENTER NATCHITOCHES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Natchitoches, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.