Active NPI
Donna Marie Pugh, L.M.T.
- Health Maintenance Organization
- Gray, LA
National Provider Identifier
1992939367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- LA4192
- Practice address
- 216 Champion St
Gray, LA 70359 - Phone
- (985) 381-3284
- NPI assigned
- May 13, 2009
- 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 |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | LA4192 | LA | Primary |
Addresses
Primary practice location
216 Champion St
Gray, LA 70359
Mailing address
PO Box 1318
Gray, LA 70359-1318
Phone (985) 381-3284
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 |
|---|---|---|---|
| LA4192 | LA | MD | Health Maintenance Organization |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242172800000",
"number": "1992939367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1318",
"city": "GRAY",
"state": "LA",
"postal_code": "703591318",
"telephone_number": "985-381-3284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 CHAMPION ST",
"city": "GRAY",
"state": "LA",
"postal_code": "70359",
"telephone_number": "985-381-3284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGH",
"first_name": "DONNA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "L.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-13",
"last_updated": "2009-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": "LA",
"license": "LA4192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gray, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.