Active NPI
Amy Salvant, LOTR
- Specialist
- Mandeville, LA
National Provider Identifier
1609993427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- Z11574
- Practice address
- 125 Louise Dr
Mandeville, LA 70448-3437 - Phone
- (985) 674-3998
- Fax
- (985) 674-3998
- NPI assigned
- Mar 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Z11574 | LA | Primary |
Addresses
Primary practice location
125 Louise Dr
Mandeville, LA 70448-3437
Mailing address
125 Louise Dr
Mandeville, LA 70448-3437
Phone (985) 674-3998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1-47381-2 | Medicaid | LA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| Z11574 | LA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609993427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 LOUISE DR",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704483437",
"telephone_number": "985-674-3998",
"fax_number": "985-674-3998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 LOUISE DR",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704483437",
"telephone_number": "985-674-3998",
"fax_number": "985-674-3998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALVANT",
"first_name": "AMY",
"credential": "LOTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "Z11574",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1-47381-2",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.