Active NPI
Jolondra Sheree Wilson
- Non-emergency Medical Transport (VAN)
- Monroe, LA
National Provider Identifier
1700335155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 008495845
- Practice address
- 111 Marx St
Monroe, LA 71202-3417 - Phone
- (318) 600-6978
- Fax
- (318) 600-6978
- NPI assigned
- Sep 27, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 008495845 | LA | Primary |
Addresses
Primary practice location
111 Marx St
Monroe, LA 71202-3417
Mailing address
111 Marx St
Monroe, LA 71202-3417
Phone (318) 600-6978
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100000271280 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008495845 | LA | MD | Non-emergency Medical Transport (VAN) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1700335155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MARX ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712023417",
"telephone_number": "318-600-6978",
"fax_number": "318-600-6978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MARX ST",
"city": "MONROE",
"state": "LA",
"postal_code": "712023417",
"telephone_number": "318-600-6978",
"fax_number": "318-600-6978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "JOLONDRA",
"middle_name": "SHEREE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-27",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "LA",
"license": "008495845",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100000271280",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.