Organization Active NPI

Quit Smoking Louisiana LLC

  • Family Medicine Physician
  • Eunice, LA
National Provider Identifier
1215474663
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jan 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Authorized official

Name
Jade N Heinen, MDNPI 1174732424
Title
Medical Doctor
Phone
(337) 457-8166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 201684 LA Primary

Addresses

Primary practice location

151 Leon Ave
Eunice, LA 70535-3937

Mailing address

151 Leon Ave
Eunice, LA 70535-3937
Phone (337) 457-8166

National Provider Directory

National Provider Directory

Locations

151 Leon Ave
Eunice, LA 70535
Phone (337) 457-8166

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Eunice, LA

Sources for this page

  • 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.