Organization Active NPI

Louisiana Assistive Technology Access Network

  • Durable Medical Equipment & Medical Supplies
  • Baton Rouge, LA
National Provider Identifier
1285275404
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LOUISIANA ASSISTIVE TECHNOLOGY ACCESS NETWORK
Practice address
3042 Old Forge Dr Ste D
Baton Rouge, LA 70808-3182
Phone
(225) 925-9500
NPI assigned
Sep 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2019

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

Authorized official

Name
Yakima K Black
Title
President & Ceo
Phone
(225) 925-9500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3042 Old Forge Dr Ste D
Baton Rouge, LA 70808-3182

Mailing address

3042 Old Forge Dr Ste D
Baton Rouge, LA 70808-3182
Phone (225) 925-9500

Other names 1

  • LATAN Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191204000726 LA DME Supplier - Independently-Practicing Occupational TherapistDME Supplier - Independently-Practicing Physical Therapist 7416380530 Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory
Tax ID family
Latan6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10988 N Harrells Ferry Rd
Ste 5
Baton Rouge, LA 70816
Phone (225) 270-6290

NPI Registry JSON

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1285275404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3042 OLD FORGE DR STE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083182",
            "telephone_number": "225-925-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3042 OLD FORGE DR STE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708083182",
            "telephone_number": "225-925-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA ASSISTIVE TECHNOLOGY ACCESS NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "YAKIMA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "225-925-9500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LATAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.