Active NPI
Ananias Incorporated
- Public Health or Welfare Agency
- Shreveport, LA
National Provider Identifier
1912200312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- ANANIAS INCORPORATED
- Practice address
- 1612 Fairfield Ave
Shreveport, LA 71101-4306 - Phone
- (318) 227-9010
- NPI assigned
- Dec 7, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Charlette Edwards, MSPH
- Title
- Ceo
- Phone
- (318) 227-9010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
1612 Fairfield Ave
Shreveport, LA 71101-4306
Mailing address
1612 Fairfield Ave
Shreveport, LA 71101-4306
Phone (318) 227-9010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018544695 | Other | LA | DUNS |
National Provider Directory
National Provider DirectoryLocations
1612 Fairfield Ave
Shreveport, LA 71101
Phone (318) 227-9010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291680000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291680000000",
"number": "1912200312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 FAIRFIELD AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014306",
"telephone_number": "318-227-9010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 FAIRFIELD AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014306",
"telephone_number": "318-227-9010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANANIAS INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-07",
"last_updated": "2010-12-07",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "CHARLETTE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "318-227-9010",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MSPH"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DUNS",
"identifier": "018544695",
"state": "LA"
}
],
"endpoints": [],
"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 Dec 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.