NPIMap

Organization Active NPI

Whites All Star Consultant

  • Counselor
  • Shreveport, LA
National Provider Identifier
1962020479
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
WHITES ALL STAR CONSULTANT
Practice address
631 E 85TH St
Shreveport, LA 71106-5819
Phone
(904) 635-0536
NPI assigned
Jul 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2020

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

Authorized official

Name
Bessie WhiteNPI 1386262889
Title
Counselor
Phone
(904) 635-0536

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

631 E 85TH St
Shreveport, LA 71106-5819

Mailing address

631 E 85TH St
Shreveport, LA 71106-5819
Phone (904) 635-0536

Other names 1

  • Whites All Star Consultant Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1962020479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 E 85TH ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711065819",
            "telephone_number": "904-635-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 E 85TH ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711065819",
            "telephone_number": "904-635-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITES ALL STAR CONSULTANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "BESSIE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "904-635-0536"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whites All Star Consultant",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.