Organization Active NPI

Healthy Outlook Management Enterprises

Doing business as Airbase Road Clinic

  • Family Nurse Practitioner
  • Dry Prong, LA
National Provider Identifier
1427270081
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3327 Issued in LA
Legal business name
HEALTHY OUTLOOK MANAGEMENT ENTERPRISES
Doing business as
Airbase Road Clinic
Practice address
2380 Airbase Rd
Dry Prong, LA 71423
Phone
(318) 466-1411
Fax
(318) 466-1409
NPI assigned
May 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Ronda A Rosier, ADMINISTRATION
Title
Administration
Phone
(318) 466-1411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP3327 LA Primary

Addresses

Primary practice location

2380 Airbase Rd
Dry Prong, LA 71423

Mailing address

2380 Airbase Rd
Dry Prong, LA 71423
Phone (318) 466-1411

Other names 1

  • AIRBASE ROAD CLINIC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427270081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 AIRBASE RD",
            "city": "DRY PRONG",
            "state": "LA",
            "postal_code": "71423",
            "telephone_number": "318-466-1411",
            "fax_number": "318-466-1409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 AIRBASE RD",
            "city": "DRY PRONG",
            "state": "LA",
            "postal_code": "71423",
            "telephone_number": "318-466-1411",
            "fax_number": "318-466-1409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY OUTLOOK MANAGEMENT ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSIER",
        "authorized_official_first_name": "RONDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "318-466-1411",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMINISTRATION"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP3327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AIRBASE ROAD CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dry Prong, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.