NPIMap

Organization Active NPI

Xtra Mile Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Breaux Bridge, LA
National Provider Identifier
1306354840
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
XTRA MILE TRANSPORTATION LLC
Practice address
1040 Mim Callier Dr
Breaux Bridge, LA 70517-7215
Phone
(337) 210-3055
Fax
(337) 210-3058
NPI assigned
Jan 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Authorized official

Name
Sharain Marie Guidry
Title
Owner
Phone
(337) 210-3055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X LA Primary

Addresses

Primary practice location

1040 Mim Callier Dr
Breaux Bridge, LA 70517-7215

Mailing address

1040 Mim Callier Dr
Breaux Bridge, LA 70517-7215
Phone (337) 210-3055

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1306354840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 MIM CALLIER DR",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705177215",
            "telephone_number": "337-210-3055",
            "fax_number": "337-210-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 MIM CALLIER DR",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705177215",
            "telephone_number": "337-210-3055",
            "fax_number": "337-210-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTRA MILE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "GUIDRY",
        "authorized_official_first_name": "SHARAIN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-210-3055"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breaux Bridge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.