Individual provider Active NPI

Latonya Auzenne

  • Non-emergency Medical Transport (VAN)
  • Opelousas, LA
National Provider Identifier
1396385753
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
007667939 Issued in LA
Practice address
624 Creswell LN
Opelousas, LA 70570-5814
Phone
(318) 751-3473
NPI assigned
Jan 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 007667939 LA Primary

Addresses

Primary practice location

624 Creswell LN
Opelousas, LA 70570-5814

Mailing address

624 Creswell LN
Opelousas, LA 70570-5814
Phone (318) 751-3473

Other names 1

  • Cleveland Mark Auzenne Former name

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

LicenseStateTypeSpecialty
007667939LAMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1396385753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 CRESWELL LN",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705814",
            "telephone_number": "318-751-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 CRESWELL LN",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705814",
            "telephone_number": "318-751-3473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUZENNE",
        "first_name": "LATONYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": "007667939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLEVELAND",
            "last_name": "AUZENNE",
            "middle_name": "MARK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Opelousas, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.