Oasis Integrated Medical Services

Primary specialty

Social WorkerTaxonomy code 104100000X

License

340 Issued in LA

Legal business name

OASIS INTEGRATED MEDICAL SERVICES

Practice address

820 Jordan St
Suite306
Shreveport, LA 71101-4518

Phone

(318) 686-8880

Fax

(318) 861-8626

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Jacqueline A Danzell, LCSWBACSSAPEAPCISD

Title

Social Worker

Phone

(318) 678-8880

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1942341102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST",
            "address_2": "SUITE306",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014518",
            "telephone_number": "318-686-8880",
            "fax_number": "318-861-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 JORDAN ST",
            "address_2": "SUITE306",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014518",
            "telephone_number": "318-686-8880",
            "fax_number": "318-861-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OASIS INTEGRATED MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "DANZELL",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "318-678-8880",
        "authorized_official_credential": "LCSWBACSSAPEAPCISD"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "LA",
            "license": "340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1163104",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary O'Neal, BCBA
• Megan Ray O'Neal, FNP-C
• Andrew Jao O'Young, MD
• Brock Oakes, PHARMD
• Oasis Integrated Community Services
• Oasis Intergratedcounseling and Recovery Services
• OB GYN Associates of Shreveport
• Devine Oluremi Obasa, DO
• Ngozika Grace Obiefuna, MD
• Jake Obrien, D.D.S.

• Social Worker in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Social Worker in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.