Active NPI
Advanced Pain Institute
- Non-Pharmacy Dispensing Site
- Hammond, LA
National Provider Identifier
1164936191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- 204474
- Legal business name
- ADVANCED PAIN INSTITUTE
- Doing business as
- Advanced Pain Institute
- Practice address
- 42131 Veterans Ave
Ste 100
Hammond, LA 70403 - Phone
- (479) 636-9702
- Fax
- (877) 427-2307
- NPI assigned
- Nov 29, 2017
- Last updated
- Nov 29, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mackenzie Hahn
- Title
- Ncpdp Coordinator
- Phone
- (479) 636-9702
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | 204474 | LA | Primary |
Addresses
Primary practice location
42131 Veterans Ave
Ste 100
Hammond, LA 70403
Mailing address
PO Box 3328
Bentonville, AR 72712
Phone (479) 636-9702
Other names 1
- Advanced Pain Institute
National Provider Directory
National Provider Directory- Tax ID family
- Advanced Pain Institute LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Green Light Urgent Care Centers
- Urgent Care Clinic/Center
- Hammond, LA
- NPI 1477325280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1511913600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1511913600000",
"number": "1164936191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3328",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "72712",
"telephone_number": "479-636-9702",
"fax_number": "877-427-2307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42131 VETERANS AVE",
"address_2": "STE 100",
"city": "HAMMOND",
"state": "LA",
"postal_code": "70403",
"telephone_number": "479-636-9702",
"fax_number": "877-427-2307"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED PAIN INSTITUTE",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-29",
"last_updated": "2017-11-29",
"status": "A",
"authorized_official_last_name": "HAHN",
"authorized_official_first_name": "MACKENZIE",
"authorized_official_title_or_position": "NCPDP COORDINATOR",
"authorized_official_telephone_number": "479-636-9702"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "LA",
"license": "204474",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Pain Institute",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hammond, LA
- Chassidy Kashunda Addison, M.A.
- Brittany Adger, M.A., LPC, PLMFT,NCC
- Adhc of Hammond
- David O. C. Adkins, LPC
- Awovi Adu
- Advanced Pain Institute Treatment Center LLC
- Advanced Pain Institute, LLC (Green Light Urgent Care Centers)
- Advanced Pain Institute, LLC
- Advanced Spinal Care LLC
- Affiliated Therapy Services, LLC (Affiliated Therapy Services, INC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.