Organization Active NPI

Fleur de Lis First Assist LLC

  • Surgical Assistant
  • Mandeville, LA
National Provider Identifier
1346665221
Registry record updated Feb 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
Legal business name
FLEUR DE LIS FIRST ASSIST LLC
Practice address
103 Carmel Dr
Mandeville, LA 70448-4128
Phone
(985) 373-0717
Fax
(985) 727-3259
NPI assigned
Feb 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2014

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

Authorized official

Name
Mrs. Rachel N Wells, CSFA/CSTNPI 1790100741
Title
President
Phone
(985) 373-0717

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
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 246ZC0007X Primary

Addresses

Primary practice location

103 Carmel Dr
Mandeville, LA 70448-4128

Mailing address

103 Carmel Dr
Mandeville, LA 70448-4128
Phone (985) 373-0717

Other identifiers 1

IdentifierTypeStateIssuer
145863OtherNATIONAL CSFA CERTIFICATE#

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393545600000",
    "number": "1346665221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CARMEL DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704484128",
            "telephone_number": "985-373-0717",
            "fax_number": "985-727-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CARMEL DR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704484128",
            "telephone_number": "985-373-0717",
            "fax_number": "985-727-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLEUR DE LIS FIRST ASSIST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-28",
        "last_updated": "2014-02-28",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "985-373-0717",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CSFA/CST"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CSFA CERTIFICATE#",
            "identifier": "145863",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; 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.