Active NPI
Albert James Dyer I, PASTOR
- Pastoral Counselor
- Shreveport, LA
National Provider Identifier
1972797843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pastoral Counselor
- Practice address
- 1226 Georgia St
Shreveport, LA 71104-4008 - Phone
- (318) 861-4603
- NPI assigned
- Sep 4, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | Primary |
Addresses
Primary practice location
1226 Georgia St
Shreveport, LA 71104-4008
Mailing address
1226 Georgia St
Shreveport, LA 71104-4008
Phone (318) 861-4603
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188864000000",
"number": "1972797843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1226 GEORGIA ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711044008",
"telephone_number": "318-861-4603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1226 GEORGIA ST",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711044008",
"telephone_number": "318-861-4603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYER",
"first_name": "ALBERT",
"middle_name": "JAMES",
"name_prefix": "Prof.",
"name_suffix": "I",
"credential": "PASTOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-04",
"last_updated": "2007-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.