Active NPI
Smile Community Action Agency
- Non-emergency Medical Transport (VAN)
- New Iberia, LA
National Provider Identifier
1770951840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 1350630
- Legal business name
- SMILE COMMUNITY ACTION AGENCY
- Practice address
- 722 Walton St
New Iberia, LA 70560-4449 - Phone
- (337) 369-9387
- Fax
- (337) 369-9813
- NPI assigned
- Sep 8, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Takisha Welch
- Title
- Transportation Coordinator
- Phone
- (337) 369-9387
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 1350630 | LA | Primary |
Addresses
Primary practice location
722 Walton St
New Iberia, LA 70560-4449
Mailing address
722 Walton St
New Iberia, LA 70560-4449
Phone (337) 369-9387
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1350630 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
722 Walton St
New Iberia, LA 70560
Phone (337) 369-9387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1441670400000",
"number": "1770951840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "722 WALTON ST",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705604449",
"telephone_number": "337-369-9387",
"fax_number": "337-369-9813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 WALTON ST",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705604449",
"telephone_number": "337-369-9387",
"fax_number": "337-369-9813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SMILE COMMUNITY ACTION AGENCY",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-08",
"last_updated": "2015-09-08",
"status": "A",
"authorized_official_last_name": "WELCH",
"authorized_official_first_name": "TAKISHA",
"authorized_official_title_or_position": "TRANSPORTATION COORDINATOR",
"authorized_official_telephone_number": "337-369-9387",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "LA",
"license": "1350630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1350630",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.