Organization Active NPI

United States Airforce

  • Emergency Registered Nurse
  • Monroe, LA
National Provider Identifier
1942549092
Registry record updated Feb 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Registered NurseTaxonomy code 163WE0003X
License
119937 Issued in LA
Legal business name
UNITED STATES AIRFORCE
Practice address
1801 N 5TH St
Monroe, LA 71201-4245
Phone
(318) 235-9300
NPI assigned
Feb 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2013

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

Authorized official

Name
Mrs. Jessica Helen Mahan, RN
Title
Nurse Practitioner
Phone
(318) 235-9300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WE0003X 119937 LA Primary

Addresses

Primary practice location

1801 N 5TH St
Monroe, LA 71201-4245

Mailing address

1801 N 5TH St
Monroe, LA 71201-4245
Phone (318) 235-9300

National Provider Directory

National Provider Directory
Tax ID family
Donahue Furniture18 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1360454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360454400000",
    "number": "1942549092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N 5TH ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014245",
            "telephone_number": "318-235-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N 5TH ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712014245",
            "telephone_number": "318-235-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STATES AIRFORCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-10",
        "last_updated": "2013-02-10",
        "status": "A",
        "authorized_official_last_name": "MAHAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "318-235-9300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Emergency",
            "state": "LA",
            "license": "119937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2013; 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.