Organization Active NPI

Center for Relief-Slidell

  • Specialist
  • Slidell, LA
National Provider Identifier
1609012392
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
012272 Issued in LA
Legal business name
CENTER FOR RELIEF-SLIDELL
Practice address
1850 Gause Blvd E
Suite 250
Slidell, LA 70461-5442
Phone
(985) 871-1181
Fax
(985) 871-1189
NPI assigned
Dec 30, 2008
Last updated
Dec 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Nathalie Demarest
Title
Office Manager
Phone
(985) 871-1181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 012272 LA Primary

Addresses

Primary practice location

1850 Gause Blvd E
Suite 250
Slidell, LA 70461-5442

Mailing address

101 E Fairway Dr
Suite 101
Covington, LA 70433-7503
Phone (985) 871-1181

Other identifiers 1

IdentifierTypeStateIssuer
1308951MedicaidLA

National Provider Directory

National Provider Directory

Locations

1850 Gause Blvd E
Ste 205
Slidell, LA 70461
Phone (985) 646-4415

1850 Gause Blvd E
Ste 250
Slidell, LA 70461
Phone (985) 871-1181

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1609012392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E FAIRWAY DR",
            "address_2": "SUITE 101",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337503",
            "telephone_number": "985-871-1181",
            "fax_number": "985-871-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 GAUSE BLVD E",
            "address_2": "SUITE 250",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615442",
            "telephone_number": "985-871-1181",
            "fax_number": "985-871-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR RELIEF-SLIDELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "DEMAREST",
        "authorized_official_first_name": "NATHALIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "985-871-1181"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "LA",
            "license": "012272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1308951",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.