Organization Active NPI

MD in the Box, LLC

  • Obstetrics & Gynecology Physician
  • Hammond, LA
National Provider Identifier
1922540996
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD.205251 Issued in LA
Legal business name
MD IN THE BOX, LLC
Practice address
20165 Crystal Lake Dr
Hammond, LA 70403-0565
Phone
(504) 554-0850
NPI assigned
Nov 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Authorized official

Name
Dr. Jessica Rinaldo, M.D.
Title
Physician
Phone
(504) 554-0850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X MD.205251 LA Primary

Addresses

Primary practice location

20165 Crystal Lake Dr
Hammond, LA 70403-0565

Mailing address

20165 Crystal Lake Dr
Hammond, LA 70403-0565
Phone (504) 554-0850

Other identifiers 1

IdentifierTypeStateIssuer
1101281MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1922540996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20165 CRYSTAL LAKE DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704030565",
            "telephone_number": "504-554-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20165 CRYSTAL LAKE DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704030565",
            "telephone_number": "504-554-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD IN THE BOX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "RINALDO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "504-554-0850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD.205251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1101281",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.