Active NPI
Gloria Phillips
- PACE Provider Organization
- Pineville, LA
National Provider Identifier
1619102258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- Legal business name
- GLORIA PHILLIPS
- Practice address
- 108 Wayne St
Pineville, LA 71360-6733 - Phone
- (318) 201-2080
- NPI assigned
- May 27, 2009
- 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
- Mrs. Gloria Ann Phillips
- Title
- Owner
- Phone
- (318) 201-2080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | LA | Primary |
Addresses
Primary practice location
108 Wayne St
Pineville, LA 71360-6733
Mailing address
108 Wayne St
Pineville, LA 71360-6733
Phone (318) 201-2080
Other names 1
- Brianna sitting service
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243382400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1619102258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 WAYNE ST",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713606733",
"telephone_number": "318-201-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 WAYNE ST",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713606733",
"telephone_number": "318-201-2080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLORIA PHILLIPS",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-27",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "GLORIA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-201-2080",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brianna sitting service",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Pineville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.