Tamiko Clayton

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

005474901 Issued in LA

Practice address

4042 Choctaw Rd
Brusly, LA 70719-2303

Phone

(225) 202-5276

NPI assigned

Jan 19, 2016

Last updated

Jan 19, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1962869263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4042 CHOCTAW RD",
            "city": "BRUSLY",
            "state": "LA",
            "postal_code": "707192303",
            "telephone_number": "225-202-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4042 CHOCTAW RD",
            "city": "BRUSLY",
            "state": "LA",
            "postal_code": "707192303",
            "telephone_number": "225-202-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAYTON",
        "first_name": "TAMIKO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": "005474901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2190466",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brightside Day Habilitation, Inc
• Brightside Day Habilitation, Inc
• Melody Bynum, MA
• Sheralyn King Callihan-Favrot, P.T.
• Ledidra Carter-Bell
• Convenient Care LLC (Lake After Hours Brusly)
• Allison P Cutrer, O.T.
• Daniel Pharmacy LLC (Daniel Pharmacy)
• Alicia David
• Donald H. De Latin, D.D.S.

• Non-emergency Medical Transport (VAN) in Brusly, LA
• Providers in Brusly, LA by specialty
• Non-emergency Medical Transport (VAN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; 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.