Individual provider Active NPI

Roland Littles

  • Attendant Care Provider
  • Victoria, TX
National Provider Identifier
1528784873
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
License
3747A0650X Issued in TX
Practice address
1101 Salem Rd Ste a
Victoria, TX 77904-1915
Phone
(361) 655-0144
NPI assigned
Oct 18, 2022
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X 3747A0650X TX Primary

Addresses

Primary practice location

1101 Salem Rd Ste a
Victoria, TX 77904-1915

Mailing address

1101 Salem Rd Ste a
Victoria, TX 77904-1915
Phone (361) 655-0144

Other identifiers 1

IdentifierTypeStateIssuer
3747A0650XOtherTX3747A0650X

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
3747A0650XTXMDAttendant Care Provider

NPI Registry JSON

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1528784873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 SALEM RD STE A",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041915",
            "telephone_number": "361-655-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SALEM RD STE A",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041915",
            "telephone_number": "361-655-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLES",
        "first_name": "ROLAND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "TX",
            "license": "3747A0650X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "3747A0650X",
            "identifier": "3747A0650X",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; 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.