Active NPI
Robert Earl Blount, N/A
- Community Health Worker
- Shreveport, LA
National Provider Identifier
1528394368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 600 Common St
Shreveport, LA 71101-3432 - Phone
- (318) 425-6213
- Fax
- (318) 221-3750
- NPI assigned
- Oct 29, 2009
- Last updated
- Oct 29, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | NU | Primary | |
| Health Educator | 174H00000X | NU |
Addresses
Primary practice location
600 Common St
Shreveport, LA 71101-3432
Mailing address
PO Box 80165
600 Common St
Shreveport, LA 71148-0165
Phone (318) 347-2208
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fit for Life Ministries Inc | Community Health Worker | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256774400000",
"number": "1528394368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 80165",
"address_2": "600 COMMON ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711480165",
"telephone_number": "318-347-2208",
"fax_number": "318-221-3750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 COMMON ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711013432",
"telephone_number": "318-425-6213",
"fax_number": "318-221-3750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOUNT",
"first_name": "ROBERT",
"middle_name": "EARL",
"name_prefix": "Mr.",
"credential": "N/A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-29",
"last_updated": "2009-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NU",
"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 Oct 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.