Active NPI
Quincy Terrell Myles
- Nurse's Aide
- Shreveport, LA
National Provider Identifier
1467224873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 151669
- Practice address
- 2918 Midway St
Shreveport, LA 71109-5916 - Phone
- (318) 489-1945
- NPI assigned
- Oct 30, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 151669 | LA | Primary |
Addresses
Primary practice location
2918 Midway St
Shreveport, LA 71109-5916
Mailing address
2918 Midway St
Shreveport, LA 71109-5916
Phone (318) 489-1945
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 |
|---|---|---|---|
| 151669 | LA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1467224873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2918 MIDWAY ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711095916",
"telephone_number": "318-489-1945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2918 MIDWAY ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711095916",
"telephone_number": "318-489-1945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYLES",
"first_name": "QUINCY",
"middle_name": "TERRELL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-30",
"last_updated": "2023-10-30",
"certification_date": "2023-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "LA",
"license": "151669",
"primary": true
}
],
"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 Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.