Active NPI
Ebonealexis Joseph
- Nurse's Aide
- Monroe, LA
National Provider Identifier
1336872191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 279509
- Practice address
- 2004 S 6TH St
Monroe, LA 71202-4348 - Phone
- (318) 791-1101
- NPI assigned
- Jul 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 279509 | LA | Primary |
Addresses
Primary practice location
2004 S 6TH St
Monroe, LA 71202-4348
Mailing address
2004 S 6TH St
Monroe, LA 71202-4348
Phone (318) 791-1101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 279509 | LA | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peace of Mind Total Health Car ,LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Monroe, LA
- NPI 1134842537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657152000000",
"number": "1336872191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2004 S 6TH ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712024348",
"telephone_number": "318-791-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 S 6TH ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712024348",
"telephone_number": "318-791-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "EBONEALEXIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-07",
"last_updated": "2022-07-07",
"certification_date": "2022-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "LA",
"license": "279509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.