NPIMap

Organization Active NPI

Autumn Lake Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Baton Rouge, LA
National Provider Identifier
1881260149
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
AUTUMN LAKE TRANSPORTATION LLC
Practice address
11758 S Harrells Ferry Rd Ste C
Baton Rouge, LA 70816-2365
Phone
(225) 755-9930
NPI assigned
May 27, 2021
Last updated
May 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Authorized official

Name
Cristal Riley
Title
Co-Owner
Phone
(225) 755-9930

Specialties & licenses 1

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

Addresses

Primary practice location

11758 S Harrells Ferry Rd Ste C
Baton Rouge, LA 70816-2365

Mailing address

11758 S Harrells Ferry Rd Ste C
Baton Rouge, LA 70816-2365
Phone (225) 755-9930

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1881260149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11758 S HARRELLS FERRY RD STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162365",
            "telephone_number": "225-755-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11758 S HARRELLS FERRY RD STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162365",
            "telephone_number": "225-755-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTUMN LAKE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "CRISTAL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "225-755-9930"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.