Organization Active NPI

Blakk Diamond LLC

  • Non-emergency Medical Transport (VAN)
  • Slidell, LA
National Provider Identifier
1528897030
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
BLAKK DIAMOND LLC
Practice address
501 Logan Island CT
Slidell, LA 70458-5825
Phone
(504) 957-2072
Fax
(985) 288-0646
NPI assigned
Aug 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Authorized official

Name
Vanessa G. Buggage
Title
Owner/Manager
Phone
(504) 957-2072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

501 Logan Island CT
Slidell, LA 70458-5825

Mailing address

501 Logan Island CT
Slidell, LA 70458-5825
Phone (504) 957-2072

Other names 1

  • Vanessa Haynes-Buggage Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727740800000",
    "number": "1528897030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 LOGAN ISLAND CT",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585825",
            "telephone_number": "504-957-2072",
            "fax_number": "985-288-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 LOGAN ISLAND CT",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704585825",
            "telephone_number": "504-957-2072",
            "fax_number": "985-288-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKK DIAMOND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A",
        "authorized_official_last_name": "BUGGAGE",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "504-957-2072"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vanessa Haynes-Buggage",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; 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.