Awilda Marrero Labonne PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

AWILDA MARRERO LABONNE PLLC

Practice address

13 W Kent St Ste 103
Chattanooga, TN 37405-9913

Phone

(423) 648-2273

Fax

(423) 206-4625

NPI assigned

Dec 10, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Awilda Marrero Labonne, PA-CNPI 1114986593

Title

Ceo

Phone

(423) 648-2273

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23638/brand/1/csg/1/fhir/r4

Practitioners 1

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

• Awilda Marrero Labonne, PA-C

  • Medical Physician Assistant
  • Chattanooga, TN
  • NPI 1114986593
  NPD Authorized official

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1356812895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 W KENT ST STE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374059913",
            "telephone_number": "423-648-2273",
            "fax_number": "423-206-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 W KENT ST STE 103",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374059913",
            "telephone_number": "423-648-2273",
            "fax_number": "423-206-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWILDA MARRERO LABONNE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-10",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "LABONNE",
        "authorized_official_first_name": "AWILDA",
        "authorized_official_middle_name": "MARRERO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "423-648-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q046052",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhvonja Avery
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• Aderemi Christian Awe, MD
• Kaitlin Faulk Awe
• Alec Ayala, RN, CCRN
• Connie Dee Ayers
• Hossam Azzazy, M.D.
• B Venture LLC
• B Well Chiropratic Clinic, LLC

• Health Service Clinic/Center in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Health Service Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.