St Tammany Fire Protection District 11

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

9110094 Issued in LA

Legal business name

ST TAMMANY FIRE PROTECTION DISTRICT 11

Practice address

64279 Hwy 3081
Pearl River, LA 70452

Phone

(985) 863-3132

Fax

(985) 863-1834

NPI assigned

Jan 23, 2007

Last updated

Jul 10, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela Little

Title

Director of EMS

Phone

(985) 863-3132

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1578617593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1210",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "70452",
            "telephone_number": "985-863-3132",
            "fax_number": "985-863-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64279 HWY 3081",
            "city": "PEARL RIVER",
            "state": "LA",
            "postal_code": "70452",
            "telephone_number": "985-863-3132",
            "fax_number": "985-863-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST TAMMANY FIRE PROTECTION DISTRICT 11",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "DIRECTOR OF EMS",
        "authorized_official_telephone_number": "985-863-3132"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "LA",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "LA",
            "license": "9110094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1110779",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Ryan Roberts
• Tara Ashley Rossignol
• Deanna Rose Sisti, MS,ATC, LAT
• South East Imaging, LLC
• Southern Pines Family Medical (Southern Pines Family Medical Center)
• St. Tammany Parish School Board
• Danielle Stasney, O.D.
• Susan M Swann, RN
• Anh V Ta, O.D.
• James P Tomaszewski, D.D.S.

• Land Ambulance in Pearl River, LA
• Providers in Pearl River, LA by specialty
• Land Ambulance in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.