NPIMap

Organization Active NPI

Signal Neuro LLC

  • Specialist
  • Maurice, LA
National Provider Identifier
1306447693
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SIGNAL NEURO LLC
Practice address
114 Margaret Lucia Dr
Maurice, LA 70555-3356
Phone
(337) 223-2253
NPI assigned
Nov 4, 2020
Last updated
Apr 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Authorized official

Name
Jordan ClavierNPI 1174132971
Title
Owner/Manager
Phone
(337) 223-2253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

114 Margaret Lucia Dr
Maurice, LA 70555-3356

Mailing address

209 John St Unit 201
Maurice, LA 70555-5509

Other names 1

  • Signal Neurophysiological Monitoring LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210122000266 LA Part B Supplier - Clinic/Group Practice 9335553957 Receives reassigned benefits from 2 practitioners
Practice locations: Maurice, LA

National Provider Directory

National Provider Directory

Locations

209 John St
Unit 201
Maurice, LA 70555
Phone (337) 223-2253

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1306447693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 JOHN ST UNIT 201",
            "city": "MAURICE",
            "state": "LA",
            "postal_code": "705555509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 MARGARET LUCIA DR",
            "city": "MAURICE",
            "state": "LA",
            "postal_code": "705553356",
            "telephone_number": "337-223-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNAL NEURO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-04",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "CLAVIER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "337-223-2253"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signal Neurophysiological Monitoring LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Maurice, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.