Organization Active NPI

Pelican Ambulance LLC

  • Ambulance
  • Metairie, LA
National Provider Identifier
1730867896
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
PELICAN AMBULANCE LLC
Practice address
4323 Division St Ste 100
Metairie, LA 70002-3179
Phone
(504) 603-6934
NPI assigned
Jul 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Ms. Tiffany Ann Brinston
Title
Owner
Phone
(504) 603-6934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

4323 Division St Ste 100
Metairie, LA 70002-3179

Mailing address

4323 Division St Ste 100
Metairie, LA 70002-3179
Phone (504) 603-6934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250326003502 LA Part B Supplier - Ambulance Service Supplier 3678096021 Practice locations: Metairie, LA

National Provider Directory

National Provider Directory

Locations

4323 Division St
Ste 100
Metairie, LA 70002
Phone (504) 603-6934

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1730867896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 DIVISION ST STE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023179",
            "telephone_number": "504-603-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 DIVISION ST STE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700023179",
            "telephone_number": "504-603-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELICAN AMBULANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "BRINSTON",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-603-6934",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.