Gulf States Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GULF STATES MEDICAL SUPPLY LLC

Practice address

4801 Eraste Hebert Rd
New Iberia, LA 70560-0839

Phone

(337) 364-8881

Fax

(337) 364-8862

NPI assigned

Dec 20, 2010

Last updated

Jul 29, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Blake Nicholson

Title

Managing Partner

Phone

(337) 364-8881

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1649573387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 ERASTE HEBERT RD",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705600839",
            "telephone_number": "337-364-8881",
            "fax_number": "337-364-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 ERASTE HEBERT RD",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705600839",
            "telephone_number": "337-364-8881",
            "fax_number": "337-364-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF STATES MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "337-364-8881",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Guillory
• Clarisse Peltier Guillory, LPC, NCC
• Megan Clary Guillory, PA-C
• Jamie Guillot, APRN, FNP-C
• Dustin Seth Guillotte, NP
• Paul Henry Gulotta Jr., M.D., A.P.M.C.
• Kimberly Guy, LCSW-BACS
• Jodie Gwin, MD
• Stephen Russell Habetz, P.T.
• Karly C Haik, CRNA

• Durable Medical Equipment & Medical Supplies in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.