Organization Active NPI

Advance Transports of la.

  • Non-emergency Medical Transport (VAN)
  • Carencro, LA
National Provider Identifier
1851635635
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
T12048 Issued in LA
Legal business name
ADVANCE TRANSPORTS OF LA.
Practice address
105 Saint Louis St
Carencro, LA 70520-4012
Phone
(337) 886-6611
Fax
(337) 886-6100
NPI assigned
Nov 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name
Mrs. Tonya Duffy
Title
Owner
Phone
(337) 886-6611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X T12048 LA Primary

Addresses

Primary practice location

105 Saint Louis St
Carencro, LA 70520-4012

Mailing address

105 Saint Louis Street
Carencro, LA 70520
Phone (337) 886-6611

Other identifiers 1

IdentifierTypeStateIssuer
2309749MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1851635635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SAINT LOUIS STREET",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "70520",
            "telephone_number": "337-886-6611",
            "fax_number": "337-886-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SAINT LOUIS ST",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705204012",
            "telephone_number": "337-886-6611",
            "fax_number": "337-886-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE TRANSPORTS OF LA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-886-6611",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": "T12048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2309749",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carencro, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.