NPIMap

Organization Active NPI

Southern ENT Associates Inc

  • Nurse Practitioner
  • Thibodaux, LA
National Provider Identifier
1982108866
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP09823 Issued in LA
Legal business name
SOUTHERN ENT ASSOCIATES INC
Practice address
604 N. Acadia Rd Ste 101
Thibodaux, LA 70301
Phone
(985) 446-5079
Fax
(877) 795-9281
NPI assigned
Mar 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2018

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

Authorized official

Name
Kristi R Tortorich
Title
Coo
Phone
(985) 446-5079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X AP09823 LA Primary

Addresses

Primary practice location

604 N. Acadia Rd Ste 101
Thibodaux, LA 70301

Mailing address

604 N. Acadia Rd Ste 101
Thibodaux, LA 70301
Phone (985) 446-5079

National Provider Directory

National Provider Directory
Tax ID family
Southern ENT Associates Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1982108866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 N. ACADIA RD STE 101",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-446-5079",
            "fax_number": "877-795-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N. ACADIA RD STE 101",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "70301",
            "telephone_number": "985-446-5079",
            "fax_number": "877-795-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ENT ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "TORTORICH",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "985-446-5079"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP09823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; 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.