Delta Genetic Counseling, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

DELTA GENETIC COUNSELING, LLC

Practice address

366 Stow Creek Rd
Ruston, LA 71270-1643

Phone

(318) 278-1861

Fax

(318) 202-5193

NPI assigned

Nov 2, 2010

Organization subpart

No

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

Authorized official

Name

Rebecca S Clark, FNP

Title

President

Phone

(318) 278-1861

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1942500244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 632",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712730632",
            "telephone_number": "318-278-1861",
            "fax_number": "318-202-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "366 STOW CREEK RD",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712701643",
            "telephone_number": "318-278-1861",
            "fax_number": "318-202-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA GENETIC COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "318-278-1861",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2133187",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Sledge Davies
• Elizabeth Davis
• Seth Dawson
• Shermesia Dean
• Eric Deemer, PH.D.
• Department of Health and Hospitals
• Department of Health and Hospitals
• Department of Health and Hospitals
• Brittany Diez
• Dillingham Optical of Ruston, Inc

• Primary Care Clinic/Center in Ruston, LA
• Providers in Ruston, LA by specialty
• Primary Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.