Active NPI
Susan L Mahaney
- Attendant Care Provider
- Shreveport, LA
National Provider Identifier
1891338448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- License
- 792677200
- Practice address
- 9945 Greentree LN
Shreveport, LA 71118-5218 - Phone
- (318) 344-6761
- NPI assigned
- Oct 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | 792677200 | FL | Primary |
Addresses
Primary practice location
9945 Greentree LN
Shreveport, LA 71118-5218
Mailing address
9945 Greentree LN
Shreveport, LA 71118-5218
Phone (318) 344-6761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 792677200 | Other | FL | N/A |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 3183446761 | Direct | |
| CONNECT URL | phone | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 792677200 | FL | MD | Attendant Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571961600000",
"number": "1891338448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9945 GREENTREE LN",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711185218",
"telephone_number": "318-344-6761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9945 GREENTREE LN",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711185218",
"telephone_number": "318-344-6761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHANEY",
"first_name": "SUSAN",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-25",
"last_updated": "2019-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "FL",
"license": "792677200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "N/A",
"identifier": "792677200",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "3183446761",
"affiliation": "N",
"endpointDescription": "Phone",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9945 Greentree Ln",
"city": "Shreveport",
"state": "LA",
"country_code": "US",
"postal_code": "711185218",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "phone",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "9945 Greentree Ln",
"city": "Shreveport",
"state": "LA",
"country_code": "US",
"postal_code": "711185218",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.