NPIMap

Organization Active NPI

Jade Dragon Red Phoenix, LLC

  • Acupuncturist
  • West Monroe, LA
National Provider Identifier
1184029662
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACA.200053 Issued in LA
Legal business name
JADE DRAGON RED PHOENIX, LLC
Practice address
2106 N 7TH St
#132
West Monroe, LA 71291-4445
Phone
(318) 521-0701
NPI assigned
Oct 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Mrs. Kathleen Ann Milazzo, ACA
Title
Co-Owner
Phone
(318) 521-0701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X ACA.200053 LA Primary

Addresses

Primary practice location

2106 N 7TH St
#132
West Monroe, LA 71291-4445

Mailing address

158 Downs Rd
Ruston, LA 71270-6984
Phone (318) 521-0701

National Provider Directory

National Provider Directory

Locations

2106 N 7th St
Ste 132
West Monroe, LA 71291
Phone (318) 450-8719

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1184029662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 DOWNS RD",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712706984",
            "telephone_number": "318-521-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 N 7TH ST",
            "address_2": "#132",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712914445",
            "telephone_number": "318-521-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADE DRAGON RED PHOENIX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "MILAZZO",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "318-521-0701",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ACA"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "LA",
            "license": "ACA.200053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.