Active NPI
Health Express Inc
- Family Medicine Physician
- Jonesboro, LA
National Provider Identifier
1548477474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 09730R
- Legal business name
- HEALTH EXPRESS INC
- Practice address
- 510 Alexander St
Jonesboro, LA 71251-2002 - Phone
- (318) 259-2148
- NPI assigned
- May 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kushal Chand Agarwal, M.D.
- Title
- Owner
- Phone
- (318) 259-2148
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 09730R | LA | Primary |
Addresses
Primary practice location
510 Alexander St
Jonesboro, LA 71251-2002
Mailing address
145 Mossy Knoll
Ruston, LA 71270-7075
Phone (318) 259-2148
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1948373 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
1691 S Hudson Ave
Jonesboro, LA 71251
Phone (318) 259-7386
510 Alexander St
Jonesboro, LA 71251
Phone (318) 259-2148
411 E Vaughn Ave
Ste 102
Ruston, LA 71270
Phone (318) 259-9522
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Piney Flats, TN
- NPI 1659795151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1333411200000",
"number": "1548477474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "145 MOSSY KNOLL",
"city": "RUSTON",
"state": "LA",
"postal_code": "712707075",
"telephone_number": "318-259-2148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 ALEXANDER ST",
"city": "JONESBORO",
"state": "LA",
"postal_code": "712512002",
"telephone_number": "318-259-2148"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH EXPRESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2012-04-03",
"status": "A",
"authorized_official_last_name": "AGARWAL",
"authorized_official_first_name": "KUSHAL",
"authorized_official_middle_name": "CHAND",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-259-2148",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "LA",
"license": "09730R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1948373",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jonesboro, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.