Individual provider Active NPI

Jayda Maria Hollies

  • Non-emergency Medical Transport (VAN)
  • Baton Rouge, LA
National Provider Identifier
1598080152
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
007926292 Issued in LA
Practice address
275 East Dr
Baton Rouge, LA 70806-5105
Phone
(225) 993-6709
Fax
(225) 218-4446
NPI assigned
Apr 6, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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 007926292 LA Primary

Addresses

Primary practice location

275 East Dr
Baton Rouge, LA 70806-5105

Mailing address

275 East Dr
Baton Rouge, LA 70806-5105
Phone (225) 993-6709

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
007926292LAMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1598080152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 EAST DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708065105",
            "telephone_number": "225-993-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 EAST DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708065105",
            "telephone_number": "225-993-6709",
            "fax_number": "225-218-4446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIES",
        "first_name": "JAYDA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": "007926292",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 6, 2010; 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.