Organization Active NPI

Willis Transportation

  • Non-emergency Medical Transport (VAN)
  • Bossier City, LA
National Provider Identifier
1194985937
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
WILLIS TRANSPORTATION
Practice address
4814 Camellia LN
Bossier City, LA 71111-5402
Phone
(318) 573-6328
Fax
(318) 377-0809
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mr. James Dylan Willis
Title
Owner
Phone
(318) 573-6328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X LA Primary

Addresses

Primary practice location

4814 Camellia LN
Bossier City, LA 71111-5402

Mailing address

4814 Camellia LN
Bossier City, LA 71111-5402
Phone (318) 573-6328

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1194985937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4814 CAMELLIA LN",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115402",
            "telephone_number": "318-573-6328",
            "fax_number": "318-377-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4814 CAMELLIA LN",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115402",
            "telephone_number": "318-573-6328",
            "fax_number": "318-377-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIS TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DYLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-573-6328",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.