Velocity MD LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

MD.019455 Issued in LA

Legal business name

VELOCITY MD LLC

Practice address

307 Keyser Ave
Natchitoches, LA 71457-5801

Phone

(318) 352-5221

Fax

(318) 352-7757

NPI assigned

Dec 23, 2016

Last updated

Dec 23, 2016By 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

Kristin Gillum

Title

Director of Oversight & Management

Phone

(318) 629-3763

Specialties & licenses 1

Addresses

Tax ID family

Velocity MD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Velocity MD LLC

  dba Velocity Care

  • Urgent Care Clinic/Center
  • Bossier City, LA
  • NPI 1023315603
  NPD tax ID

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

{
    "created_epoch": "1482451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482451200000",
    "number": "1659816858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 KEYSER AVE",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575801",
            "telephone_number": "318-352-5221",
            "fax_number": "318-352-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 KEYSER AVE",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714575801",
            "telephone_number": "318-352-5221",
            "fax_number": "318-352-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELOCITY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-23",
        "last_updated": "2016-12-23",
        "status": "A",
        "authorized_official_last_name": "GILLUM",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "DIRECTOR OF OVERSIGHT & MANAGEMENT",
        "authorized_official_telephone_number": "318-629-3763"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "MD.019455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Natchitoches, LA
• Providers in Natchitoches, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2016; 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.