Iph, Slidel LLC

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

Legal business name

IPH, SLIDEL LLC

Practice address

2364 Gause Blvd E Ste 101
Slidell, LA 70461-4141

Phone

(985) 641-2202

Fax

(985) 641-2888

NPI assigned

Oct 14, 2011

Organization subpart

Yes

Parent organization

IPH HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

Marie J WilliamsNPI 1073550273

Title

Member/Medical Director

Phone

(985) 641-2202

Specialties & licenses 1

Addresses

Part of

Innovative Pelvic Health LLC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marie Jaqueline Williams, NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Jackson, MS
  • NPI 1073550273
  NPD (past) Authorized official
• Ann G Jopling, WHNP

  • Women's Health Nurse Practitioner
  • Monroe, LA
  • NPI 1639132863
  NPD (past)

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1942585591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 MARSHALL ST",
            "address_2": "SUITE 607B",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392021651",
            "telephone_number": "601-948-6540",
            "fax_number": "601-948-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2364 GAUSE BLVD E STE 101",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704614141",
            "telephone_number": "985-641-2202",
            "fax_number": "985-641-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IPH, SLIDEL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IPH HOLDINGS, LLC",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "985-641-2202"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Insight Therapeutic Rehabilitation Inc.
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• Integrated Dermatology of Slidell LLC
• Intentional Hearts Health Services, LLC
• Interventional Pump Fusion, LLC
• Jennifer Ann Irwin, BS, DC
• Iteld Bernstein and Associates LLC
• Bruce J Iteld, MD,FACC,FCCP,FSCAI
• Tara Lynn Ivankovich, LMSW
• J & G Transportation LLC

• Women's Health Nurse Practitioner in Slidell, LA
• Providers in Slidell, LA by specialty
• Women's Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.