NPIMap

Individual provider Active NPI

Wendy Livous

  • Non-emergency Medical Transport (VAN)
  • Baton Rouge, LA
National Provider Identifier
1578919023
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
0044884556 Issued in LA
Practice address
4901 Winnebago St
Baton Rouge, LA 70805-6170
Phone
(225) 288-0938
Fax
(225) 778-5664
NPI assigned
May 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 0044884556 LA Primary

Addresses

Primary practice location

4901 Winnebago St
Baton Rouge, LA 70805-6170

Mailing address

4901 Winnebago St
Baton Rouge, LA 70805-6170
Phone (225) 288-0938

Other identifiers 1

IdentifierTypeStateIssuer
81-2599339OtherLAFEDERAL TAX ID

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
0044884556LAMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1578919023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 WINNEBAGO ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708056170",
            "telephone_number": "225-288-0938",
            "fax_number": "225-778-5664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 WINNEBAGO ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708056170",
            "telephone_number": "225-288-0938",
            "fax_number": "225-778-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVOUS",
        "first_name": "WENDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": "0044884556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "81-2599339",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.