Active NPI
Esit, LLC
- Developmental Disabilities Clinic/Center
- Shreveport, LA
National Provider Identifier
1588147045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Disabilities Clinic/Center
- Legal business name
- ESIT, LLC
- Practice address
- 7505 Pines Rd Ste 1200E
Shreveport, LA 71129-3935 - Phone
- (318) 820-6857
- NPI assigned
- Sep 11, 2018
- 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
- Ms. Michelle D Newton, EDS
- Title
- Ceo/Owner
- Phone
- (318) 820-6857
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Disabilities Clinic/Center | 261QD1600X | Primary |
Addresses
Primary practice location
7505 Pines Rd Ste 1200E
Shreveport, LA 71129-3935
Mailing address
3413 Nathan Cir
Shreveport, LA 71108-5343
Phone (318) 820-6857
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536624000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536624000000",
"number": "1588147045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3413 NATHAN CIR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711085343",
"telephone_number": "318-820-6857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7505 PINES RD STE 1200E",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711293935",
"telephone_number": "318-820-6857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESIT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-11",
"last_updated": "2018-09-11",
"status": "A",
"authorized_official_last_name": "NEWTON",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "318-820-6857",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "EDS"
},
"taxonomies": [
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.