Organization Active NPI

LTP Medical Mobile, Inc.

  • Family Medicine Physician
  • Ruston, LA
National Provider Identifier
1649564824
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LTP MEDICAL MOBILE, INC.
Practice address
316 Mills Ave Unit a
Ruston, LA 71270-5939
Phone
(318) 513-1212
Fax
(318) 513-7673
NPI assigned
Jun 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Dr. Jackie K White, M.D.
Title
Medical Director
Phone
(318) 513-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

316 Mills Ave Unit a
Ruston, LA 71270-5939

Mailing address

316 Mills Ave Unit a
Ruston, LA 71270-5939
Phone (318) 513-1212

Other identifiers 1

IdentifierTypeStateIssuer
2428438MedicaidLA

Other names 1

  • The Health Hut Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2094613Health Hut, the316 Mills Ave, Ruston, LA 71270Certificate of waiverApr 20, 2027

National Provider Directory

National Provider Directory

Locations

310 W Mississippi Ave
Ruston, LA 71270
Phone (318) 399-7130

Practitioners & affiliated clinicians

Practitioners 5

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": "1307232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1649564824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 MILLS AVE UNIT A",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705939",
            "telephone_number": "318-513-1212",
            "fax_number": "318-513-7673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 MILLS AVE UNIT A",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705939",
            "telephone_number": "318-513-1212",
            "fax_number": "318-513-7673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTP MEDICAL MOBILE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-05",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "318-513-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2428438",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Health Hut",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ruston, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.