Gertrude Irving
Individual provider Active NPI Contractor · Stonewall, LA
NPI 1235073545 · NPPES record last updated Apr 16, 2026
Key facts
- NPI
- 1235073545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- Practice address
- 1318 Highway 171
Stonewall, LA 71078 - Phone
- (318) 925-9094
- NPI assigned
- Apr 16, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor |
171W00000X | Yes |
Addresses
Primary practice location
1318 Highway 171
Stonewall, LA 71078
Mailing address
1005 S Main St
Jefferson, TX 75657-2425
Phone (318) 925-9094
Other providers in Stonewall, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.