Life Air Rescue

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

9110026 Issued in LA

Legal business name

LIFE AIR RESCUE

Practice address

1 Saint Mary PL
Shreveport, LA 71101-4343

Phone

(318) 681-4610

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Pam Anderson

Title

Chief Flight Nurse

Phone

(318) 681-4610

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659318517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37103",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711337103",
            "telephone_number": "318-681-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SAINT MARY PL",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014343",
            "telephone_number": "318-681-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE AIR RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "CHIEF FLIGHT NURSE",
        "authorized_official_telephone_number": "318-681-4610"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "LA",
            "license": "9110026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1675458",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "B8086",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chanping Liang, M.D.
• Maryyam Liaqat
• Chelsie Pallett Liegey, MA, CI
• Cesar Hernan Liendo, M.D.
• Wai Bun Liew
• Life Changing Mental Health, LLC.
• Life Changing Solutions, LLC
• Life Changing Solutions, LLC
• Life Is Worth Living
• Life Matters Counseling and Therapy, LLC

• Air Ambulance in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Air Ambulance in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.