Organization Active NPI

Superior Drivers, LLC

  • Non-emergency Medical Transport (VAN)
  • Shreveport, LA
National Provider Identifier
1134479868
Registry record updated Sep 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
SUPERIOR DRIVERS, LLC
Practice address
2620 Centenary Blvd
Suite 312
Shreveport, LA 71104-3356
Phone
(318) 681-9935
Fax
(318) 681-9938
NPI assigned
Sep 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2012

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

Authorized official

Name
Ms. Katrina O Boden
Title
Owner
Phone
(318) 681-9935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

2620 Centenary Blvd
Suite 312
Shreveport, LA 71104-3356

Mailing address

2620 Centenary Blvd
Suite 312
Shreveport, LA 71104-3356
Phone (318) 681-9935

National Provider Directory

National Provider Directory

Locations

2620 Centenary Blvd
Ste 312
Shreveport, LA 71104
Phone (318) 681-9935

NPI Registry JSON

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1134479868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 CENTENARY BLVD",
            "address_2": "SUITE 312",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043356",
            "telephone_number": "318-681-9935",
            "fax_number": "318-681-9938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 CENTENARY BLVD",
            "address_2": "SUITE 312",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711043356",
            "telephone_number": "318-681-9935",
            "fax_number": "318-681-9938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR DRIVERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "BODEN",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-681-9935",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

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