Active NPI
Shaliza Tolliver
- Counselor
- Rayville, LA
National Provider Identifier
1982156188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 010217901
- Practice address
- 12 Plum Tree Dr
Rayville, LA 71269-7301 - Phone
- (225) 588-8318
- NPI assigned
- Nov 4, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 010217901 | LA | Primary |
Addresses
Primary practice location
12 Plum Tree Dr
Rayville, LA 71269-7301
Mailing address
12 Plum Tree Dr
Rayville, LA 71269-7301
Phone (225) 588-8318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010217901 | Other | LA | DRIVER'S LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010217901 | LA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478217600000",
"number": "1982156188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 PLUM TREE DR",
"city": "RAYVILLE",
"state": "LA",
"postal_code": "712697301",
"telephone_number": "225-588-8318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 PLUM TREE DR",
"city": "RAYVILLE",
"state": "LA",
"postal_code": "712697301",
"telephone_number": "225-588-8318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLLIVER",
"first_name": "SHALIZA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-04",
"last_updated": "2016-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "010217901",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER'S LICENSE",
"identifier": "010217901",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rayville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.