Active NPI
Jenna Elizabeth Davila, IDMT
- Independent Duty Medical Technicians
- Bossier City, LA
National Provider Identifier
1568803450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Medical Technicians
- Practice address
- 293 Avondale LN
Bossier City, LA 71112-4266 - Phone
- (210) 837-0240
- NPI assigned
- Jul 9, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Independent Duty Medical Technicians | 1710I1003X | Primary |
Addresses
Primary practice location
293 Avondale LN
Bossier City, LA 71112-4266
Mailing address
293 Avondale LN
Bossier City, LA 71112-4266
Phone (210) 837-0240
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373328000000",
"number": "1568803450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "293 AVONDALE LN",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711124266",
"telephone_number": "210-837-0240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "293 AVONDALE LN",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711124266",
"telephone_number": "210-837-0240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVILA",
"first_name": "JENNA",
"middle_name": "ELIZABETH",
"credential": "IDMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-09",
"last_updated": "2013-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1003X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Medical Technicians",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bossier City, LA
- Jeffery D. Darby, L.P.C., L.M.F.T.
- David Raines Community Health Center Inc
- David Raines Community Health Center, Inc
- David Raines Community Health Center, Inc
- David Raines Community Health Center, Inc
- Ayanna Binta Davis
- Brenda Faye Davis
- Casey Glasgow Davis, P.T.
- Charles Henry Davis
- Gregory Wayne Davis, HIS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.