Individual provider Active NPI

Anderson Louis Jeune

  • Driver
  • Lake Worth, FL
National Provider Identifier
1730457722
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DriverTaxonomy code 172A00000X
License
PBCVH3503 Issued in FL
Practice address
7866 Springfield Lake Dr
Lake Worth, FL 33467-7895
Phone
(561) 729-3698
NPI assigned
Dec 6, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X PBCVH3503 FL Primary

Addresses

Primary practice location

7866 Springfield Lake Dr
Lake Worth, FL 33467-7895

Mailing address

7866 Springfield Lake Dr
Lake Worth, FL 33467-7895
Phone (561) 729-3698

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

LicenseStateTypeSpecialty
PBCVH3503FLMDDriver

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Transportation Management Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323129600000",
    "number": "1730457722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7866 SPRINGFIELD LAKE DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677895",
            "telephone_number": "561-729-3698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7866 SPRINGFIELD LAKE DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677895",
            "telephone_number": "561-729-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS JEUNE",
        "first_name": "ANDERSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "FL",
            "license": "PBCVH3503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.