Active NPI
Amanda Reynolds
- Operational (Transportable) Military General Acute Care Hospital
- Slidell, LA
National Provider Identifier
1710427992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Operational (Transportable) Military General Acute Care Hospital
- Practice address
- 520 9TH St
Slidell, LA 70458-1416 - Phone
- (985) 960-3759
- NPI assigned
- Mar 7, 2017
- 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 |
|---|---|---|---|---|
| Operational (Transportable) Military General Acute Care Hospital | 2865X1600X | Primary |
Addresses
Primary practice location
520 9TH St
Slidell, LA 70458-1416
Mailing address
520 Ninth Street
Slidell, LA 70458
Phone (985) 960-3759
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488844800000",
"number": "1710427992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 NINTH STREET",
"city": "SLIDELL",
"state": "LA",
"postal_code": "70458",
"telephone_number": "985-960-3759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 9TH ST",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704581416",
"telephone_number": "985-960-3759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REYNOLDS",
"first_name": "AMANDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-07",
"last_updated": "2017-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2865X1600X",
"taxonomy_group": "",
"desc": "Military Hospital, Military General Acute Care Hospital. Operational (Transportable)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.