Alice Robert, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD.025610 Issued in LA

Legal business name

ALICE ROBERT, LLC

Practice address

106 S Lincoln St
Tallulah, LA 71282-4546

Phone

(504) 782-7848

Fax

(318) 574-3900

NPI assigned

May 2, 2012

Last updated

May 2, 2012By 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

Mrs. Kelli D. Beavers

Title

Credentialing Manager

Phone

(318) 325-6200

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1740548361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 S LINCOLN ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712824546",
            "telephone_number": "504-782-7848",
            "fax_number": "318-574-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S LINCOLN ST",
            "city": "TALLULAH",
            "state": "LA",
            "postal_code": "712824546",
            "telephone_number": "504-782-7848",
            "fax_number": "318-574-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALICE ROBERT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "BEAVERS",
        "authorized_official_first_name": "KELLI",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "318-325-6200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.025610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1042935",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• A and D Helping Hands LLC
• A and D Helping Hands Transportation LLC
• A&D Helping Hands LLC
• Carmen Larae Allen, M.ED.
• Jessica Anderson
• Leashleigh Anderson
• Anew Beginning Solutions, LLC
• Apex Therapy and Performance, LLC

• Internal Medicine Physician in Tallulah, LA
• Providers in Tallulah, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.