Individual provider Active NPI

Nubari Abarile Gimah

  • Durable Medical Equipment & Medical Supplies
  • Shreveport, LA
National Provider Identifier
1174738660
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
00203709 Issued in LA
Practice address
610 Marshall St
902
Shreveport, LA 71101-3784
Phone
(318) 934-4112
Fax
(318) 934-4113
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 00203709 LA Primary

Addresses

Primary practice location

610 Marshall St
902
Shreveport, LA 71101-3784

Mailing address

610 Marshall St
902
Shreveport, LA 71101-3784
Phone (318) 934-4112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
00203709LAMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Nubari a Gimah Durable Medical Equipment & Medical Supplies Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174738660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 MARSHALL ST",
            "address_2": "902",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013784",
            "telephone_number": "318-934-4112",
            "fax_number": "318-934-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 MARSHALL ST",
            "address_2": "902",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013784",
            "telephone_number": "318-934-4112",
            "fax_number": "318-934-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMAH",
        "first_name": "NUBARI",
        "middle_name": "ABARILE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "LA",
            "license": "00203709",
            "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 Jul 8, 2007; 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.