Organization Active NPI

Smile Community Action Agency

  • Non-emergency Medical Transport (VAN)
  • New Iberia, LA
National Provider Identifier
1770951840
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
1350630 Issued in LA
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

Updated by the provider on Sep 8, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1350630MedicaidLA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.