Organization Active NPI

Sick Day RX LLC

  • Primary Care Clinic/Center
  • Shreveport, LA
National Provider Identifier
1639798291
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SICK DAY RX LLC
Practice address
817 Ardennes CT
Shreveport, LA 71115-4613
Phone
(318) 347-6220
NPI assigned
Apr 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Authorized official

Name
Mrs. Kelly Smith Crawford, DNP, MSN, APRN, FNP-
Title
Owner
Phone
(318) 347-6220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

817 Ardennes CT
Shreveport, LA 71115-4613

Mailing address

817 Ardennes CT
Shreveport, LA 71115-4613
Phone (318) 347-6220

Other identifiers 1

IdentifierTypeStateIssuer
2197959MedicaidLA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1639798291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 ARDENNES CT",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711154613",
            "telephone_number": "318-347-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 ARDENNES CT",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711154613",
            "telephone_number": "318-347-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SICK DAY RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "SMITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-347-6220",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNP, MSN, APRN, FNP-"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2197959",
            "state": "LA"
        }
    ],
    "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 Apr 14, 2020; 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.