Cleveland Mark Auzenne Jr.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

007387640 Issued in LA

Practice address

210 Polly LN Apt 227
Lafayette, LA 70508-4981

Phone

(318) 751-3473

NPI assigned

Sep 24, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Iride Transportation Inc

  • Non-emergency Medical Transport (VAN)
  • Lafayette, LA
  • NPI 1265036206
  NPD
• Iride Transportation Inc

  • Non-emergency Medical Transport (VAN)
  • Lafayette, LA
  • NPI 1902596737
  NPD

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1215544218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 POLLY LN APT 227",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084981",
            "telephone_number": "318-751-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 POLLY LN APT 227",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084981",
            "telephone_number": "318-751-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUZENNE",
        "first_name": "CLEVELAND",
        "middle_name": "MARK",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": "007387640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Dione Austin
• Ryan Austin
• Leah Marie Authement, PHARMD
• Authorized Hearing Services
• Robert Louis Autin, M.D.
• Daisy Ann Auzenne, LPC
• Kaylin Auzenne
• Seth Auzenne
• Averette Psychological Services
• Cedrina Knight Averette, PHD

• Non-emergency Medical Transport (VAN) in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Non-emergency Medical Transport (VAN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.