Organization Active NPI

The Extra Mile, Region VIII

  • Community Health Worker
  • Monroe, LA
National Provider Identifier
1184989485
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
THE EXTRA MILE, REGION VIII
Practice address
912 Saint John St
Monroe, LA 71201-8440
Phone
(318) 322-5972
Fax
(318) 322-9875
NPI assigned
Jul 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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

Authorized official

Name
Mrs. Tonya Annette Turner-Larry
Title
Executive Director
Phone
(318) 388-6088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

912 Saint John St
Monroe, LA 71201-8440

Mailing address

1900 Lamy LN
Ste. C & D
Monroe, LA 71201-9207
Phone (318) 388-6088

National Provider Directory

National Provider Directory
Tax ID family
The Extra Mile2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

912 Saint John St
Monroe, LA 71201
Phone (318) 322-5972

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1184989485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 LAMY LN",
            "address_2": "STE. C & D",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712019207",
            "telephone_number": "318-388-6088",
            "fax_number": "381-388-6872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 SAINT JOHN ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712018440",
            "telephone_number": "318-322-5972",
            "fax_number": "318-322-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EXTRA MILE, REGION VIII",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-12",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "TURNER-LARRY",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "318-388-6088",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.