Organization Active NPI

Ashley Medical Equipment & Supplies, Inc.

  • Oxygen Equipment & Supplies (DME)
  • Shreveport, LA
National Provider Identifier
1144229162
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
090010826 Issued in LA
Legal business name
ASHLEY MEDICAL EQUIPMENT & SUPPLIES, INC.
Practice address
1435 Hawn Ave
Shreveport, LA 71107-6533
Phone
(318) 676-0881
Fax
(318) 676-0885
NPI assigned
Jul 20, 2005
Organization subpart
Yes
Parent organization
ASHLEY MEDICAL EQUIPMENT & SUPPLIES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

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

Authorized official

Name
Ms. Melissa C Shepherd, MLT ASCP
Title
VP of Operations/Owner
Phone
(318) 676-0881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 090010826 LA Primary

Addresses

Primary practice location

1435 Hawn Ave
Shreveport, LA 71107-6533

Mailing address

1435 Hawn Ave
Shreveport, LA 71107-6533
Phone (318) 676-0881

Other identifiers 3

IdentifierTypeStateIssuer
152623716MedicaidAK
163425501MedicaidTX
1167983MedicaidLA

National Provider Directory

National Provider Directory
Part of
Ashley Medical Equipment Supplies Inc

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1144229162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 HAWN AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711076533",
            "telephone_number": "318-676-0881",
            "fax_number": "318-676-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 HAWN AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711076533",
            "telephone_number": "318-676-0881",
            "fax_number": "318-676-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY MEDICAL EQUIPMENT & SUPPLIES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASHLEY MEDICAL EQUIPMENT & SUPPLIES, INC.",
        "enumeration_date": "2005-07-20",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VP OF OPERATIONS/OWNER",
        "authorized_official_telephone_number": "318-676-0881",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MLT ASCP"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "LA",
            "license": "090010826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152623716",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163425501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1167983",
            "state": "LA"
        }
    ],
    "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 Aug 23, 2011; 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.