Active NPI
Ashley Medical Equipment & Supplies, Inc.
- Oxygen Equipment & Supplies (DME)
- Shreveport, LA
National Provider Identifier
1144229162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oxygen Equipment & Supplies (DME)
- License
- 090010826
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152623716 | Medicaid | AK | |
| 163425501 | Medicaid | TX | |
| 1167983 | Medicaid | LA |
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.