Active NPI
Latonya Auzenne
- Non-emergency Medical Transport (VAN)
- Opelousas, LA
National Provider Identifier
1396385753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 007667939
- 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
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 |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| 007667939 | LA | MD | Non-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.