Active NPI
Lynette Y Patterson
- Transportation Broker
- Tallulah, LA
National Provider Identifier
1346869450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Broker
- License
- 012417565
- Practice address
- 720 Johnson St Apt 8
Tallulah, LA 71282-4533 - Phone
- (318) 434-2434
- Fax
- (318) 435-2072
- NPI assigned
- Apr 9, 2020
- 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 |
|---|---|---|---|---|
| Transportation Broker | 347E00000X | 012417565 | LA | Primary |
Addresses
Primary practice location
720 Johnson St Apt 8
Tallulah, LA 71282-4533
Mailing address
720 Johnson St Apt 8
Tallulah, LA 71282-4533
Phone (318) 434-2434
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 |
|---|---|---|---|
| 012417565 | LA | MD | Transportation Broker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586390400000",
"number": "1346869450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 JOHNSON ST APT 8",
"city": "TALLULAH",
"state": "LA",
"postal_code": "712824533",
"telephone_number": "318-434-2434",
"fax_number": "318-435-2072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 JOHNSON ST APT 8",
"city": "TALLULAH",
"state": "LA",
"postal_code": "712824533",
"telephone_number": "318-434-2434",
"fax_number": "318-435-2072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "LYNETTE",
"middle_name": "Y",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-09",
"last_updated": "2020-04-09",
"certification_date": "2020-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": "LA",
"license": "012417565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallulah, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.