Awilda Marrero Labonne, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

03307 Issued in TN

Practice address

13 W Kent St Ste 103
Chattanooga, TN 37405-9913

Phone

(423) 648-2273

Fax

(423) 206-4625

NPI assigned

Mar 22, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23638/brand/1/csg/1/fhir/r4

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.

• Awilda Marrero Labonne PLLC

  • Health Service Clinic/Center
  • Chattanooga, TN
  • NPI 1356812895

  Medical

  NPD Authorized official

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1114986593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 W KENT ST STE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374059913",
            "telephone_number": "423-648-2273",
            "fax_number": "423-206-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 W KENT ST STE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374059913",
            "telephone_number": "423-648-2273",
            "fax_number": "423-206-4625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 Lee Hwy Ste 600",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374216729",
            "country_code": "US",
            "telephone_number": "423-894-0432",
            "fax_number": "423-894-0475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABONNE",
        "first_name": "AWILDA",
        "middle_name": "MARRERO",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2023-03-07",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "03307",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "03307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "363AMO700X",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• L. Samuelgill, Jr., D.D.S., M.S., P.C.
• L&B Transportation
• Tiffany La Com
• Jeannette Suzanne Labelle, DDS
• Steven A Laboda, SA-C
• Laboratory Corporation of America
• Rachel Denbo Labovitz, M.D.
• Amy Lackey, O.D.
• Meghan Hohn Lacks, PHD, LMFTA
• Michael John Lacombe, M.D.

• Medical Physician Assistant in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.