NPIMap

Organization Active NPI

Advance Telehealth Consulting Solutions, LLC

  • Durable Medical Equipment & Medical Supplies
  • Lafayette, LA
National Provider Identifier
1194196535
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ADVANCE TELEHEALTH CONSULTING SOLUTIONS, LLC
Practice address
1001 W. Pinhook Road
Building 3 Suite 219
Lafayette, LA 70503
Phone
(337) 565-0843
Fax
(337) 205-4150
NPI assigned
Oct 12, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Authorized official

Name
Mr. Charles Adam Edwards
Title
Chief Executive Officer
Phone
(337) 565-0843

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1001 W. Pinhook Road
Building 3 Suite 219
Lafayette, LA 70503

Mailing address

PO Box 91955
Lafayette, LA 70509
Phone (337) 565-0843

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472083200000",
    "number": "1194196535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 91955",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70509",
            "telephone_number": "337-565-0843",
            "fax_number": "337-205-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W. PINHOOK ROAD",
            "address_2": "BUILDING 3 SUITE 219",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "telephone_number": "337-565-0843",
            "fax_number": "337-205-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE TELEHEALTH CONSULTING SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2016-08-25",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "337-565-0843",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.