Proniche Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRONICHE MEDICAL LLC

Practice address

2520 Harvard Ave
Suite 2B
Metairie, LA 70001-1118

Phone

(504) 454-3004

Fax

(504) 454-3075

NPI assigned

Sep 12, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Leon T Watkins

Title

Doctor

Phone

(504) 454-3004

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1114277654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 HARVARD AVE",
            "address_2": "SUITE 2B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011118",
            "telephone_number": "504-454-3004",
            "fax_number": "504-454-3075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 HARVARD AVE",
            "address_2": "SUITE 2B",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011118",
            "telephone_number": "504-454-3004",
            "fax_number": "504-454-3075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRONICHE MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "504-454-3004",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice Marie Priola, L.C.S.W.
• Carianne Pritchett, LPC
• Mallory Privitt
• Stephanie Hope Procell, PHD
• Alison M Proctor, P-LPC
• Provance Chiropractic Sport, Family & Rehab
• Provance Chiropractic Sports and Wellness, L.L.C.
• Gerry G Provance, D.C.
• Randy Provensal, CRNA
• Curtis D Prowell Jr., M.D.

• Durable Medical Equipment & Medical Supplies in Metairie, LA
• Providers in Metairie, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.