Active NPI
Robert E Hewlett III, D.V.M
- Veterinarian
- Benton, LA
National Provider Identifier
1770876294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 1229
- Practice address
- 195 Burt Blvd
Benton, LA 71006-4900 - Phone
- (318) 965-2371
- Fax
- (318) 965-2384
- NPI assigned
- May 17, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 1229 | LA | Primary |
| Veterinarian | 174M00000X | 4530 | TX |
Addresses
Primary practice location
195 Burt Blvd
Benton, LA 71006-4900
Mailing address
195 Burt Blvd
Benton, LA 71006-4900
Phone (318) 965-2371
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 |
|---|---|---|---|
| 1229 | LA | MD | Psychologist |
| 4530 | TX | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1770876294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 BURT BLVD",
"city": "BENTON",
"state": "LA",
"postal_code": "710064900",
"telephone_number": "318-965-2371",
"fax_number": "318-965-2384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 BURT BLVD",
"city": "BENTON",
"state": "LA",
"postal_code": "710064900",
"telephone_number": "318-965-2371",
"fax_number": "318-965-2384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEWLETT",
"first_name": "ROBERT",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.V.M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-17",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "LA",
"license": "1229",
"primary": true
},
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "TX",
"license": "4530",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Benton, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.