Organization Active NPI

Young Men's Christian Association of Northeast Louisiana

  • Health Educator
  • Monroe, LA
National Provider Identifier
1801346846
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
YOUNG MEN'S CHRISTIAN ASSOCIATION OF NORTHEAST LOUISIANA
Practice address
1505 Stubbs Ave
Monroe, LA 71201-5627
Phone
(318) 387-9622
Fax
(318) 703-3626
NPI assigned
Oct 13, 2016
Last updated
Oct 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Authorized official

Name
Mr. Ellis M Lewis
Title
President-Ceo
Phone
(318) 331-1681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X NU Primary

Addresses

Primary practice location

1505 Stubbs Ave
Monroe, LA 71201-5627

Mailing address

1505 Stubbs Ave
Monroe, LA 71201-5627
Phone (318) 387-9622

National Provider Directory

National Provider Directory

Locations

1505 Stubbs Ave
Monroe, LA 71201
Phone (318) 387-9622

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1801346846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 STUBBS AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015627",
            "telephone_number": "318-387-9622",
            "fax_number": "318-703-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 STUBBS AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015627",
            "telephone_number": "318-387-9622",
            "fax_number": "318-703-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF NORTHEAST LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "ELLIS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT-CEO",
        "authorized_official_telephone_number": "318-331-1681",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.