Quit Smoking Louisiana LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

201684 Issued in LA

Legal business name

QUIT SMOKING LOUISIANA LLC

Practice address

151 Leon Ave
Eunice, LA 70535-3937

Phone

(337) 457-8166

Fax

(888) 371-3069

NPI assigned

Jan 24, 2017

Organization subpart

No

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

Authorized official

Name

Jade N Heinen, MD

Title

Medical Doctor

Phone

(337) 457-8166

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1215474663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 LEON AVE",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705353937",
            "telephone_number": "337-457-8166",
            "fax_number": "888-371-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 LEON AVE",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705353937",
            "telephone_number": "337-457-8166",
            "fax_number": "888-371-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUIT SMOKING LOUISIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "HEINEN",
        "authorized_official_first_name": "JADE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "337-457-8166",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "201684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Eunice, LA
• Providers in Eunice, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.