Active NPI
Louisiana Assistive Technology Access Network
- Durable Medical Equipment & Medical Supplies
- Baton Rouge, LA
National Provider Identifier
1285275404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191204000726 | LA | DME Supplier - Independently-Practicing Occupational Therapist | 7416380530 | Practice locations: Baton Rouge, LA |
National Provider Directory
National Provider Directory- Tax ID family
- Latan
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Occupational Therapist
- Baton Rouge, LA
- NPI 1245891639
-
- General Practice Physician
- Baton Rouge, LA
- NPI 1447811831
-
- Speech-Language Pathologist
- Baton Rouge, LA
- NPI 1063063618
-
- Physical Therapist
- Baton Rouge, LA
- NPI 1245881887
-
- Voluntary or Charitable Agency
- Baton Rouge, LA
- NPI 1366978884
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
- Louisiana Anesthesiology Group, L.L.C.
- Louisiana Assistive Tech Access Network
- Louisiana Assistive Tech Access Network
- Louisiana Assistive Technology Access Network
- Louisiana Assistive Technology Access Network
- Louisiana Assistive Technology Access Network
- Louisiana Breast Specialists, LLC
- Louisiana Cardiovascular Specialists, LLC
- Louisiana Cardiovascular Specialists, LLC
- Louisiana Center for Eyes, LLC
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.