Active NPI
Latandrea Ruffins
- Phlebotomy Technician
- Shreveport, LA
National Provider Identifier
1366013260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebotomy Technician
- License
- 339805
- Practice address
- 7505 Pines Road
Suite 1200-E
Shreveport, LA 71129-3935 - Phone
- (318) 517-7428
- Fax
- (318) 568-8019
- NPI assigned
- Jul 2, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebotomy Technician | 246RP1900X | 339805 | LA | Primary |
| Non-emergency Medical Transport (VAN) | 343900000X |
Addresses
Primary practice location
7505 Pines Road
Suite 1200-E
Shreveport, LA 71129-3935
Mailing address
7505 Pines Road
Suite 1200-E
Shreveport, LA 71129-3935
Phone (318) 517-7428
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 |
|---|---|---|---|
| 339805 | LA | MD | Phlebotomy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L & R Express Transportation Services, LLC | Non-Emergency Medical Transport (Van) | Current | Accepting new patients |
| Gentle Touch Mobile Phlebotomy Services, LLC | Phlebotomy | Current | Accepting new patients |
Locations
7505 Pines Rd
Ste 1200E
Shreveport, LA 71129
Phone (318) 517-7428
Organizations & group practices 2
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.
-
- Phlebotomy Technician
- Shreveport, LA
- NPI 1386308336
-
- Non-emergency Medical Transport (VAN)
- Shreveport, LA
- NPI 1932863990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1366013260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7505 PINES ROAD",
"address_2": "SUITE 1200-E",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711293935",
"telephone_number": "318-517-7428",
"fax_number": "318-568-8019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7505 PINES ROAD",
"address_2": "SUITE 1200-E",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711293935",
"telephone_number": "318-517-7428",
"fax_number": "318-568-8019"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUFFINS",
"first_name": "LATANDREA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-02",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "246RP1900X",
"taxonomy_group": "",
"desc": "Technician, Pathology, Phlebotomy",
"state": "LA",
"license": "339805",
"primary": true
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.