1811318181 NPI number — MRS. APRIL K MCINTYRE N.P.

Table of content: MRS. APRIL K MCINTYRE N.P. (NPI 1811318181)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811318181 NPI number — MRS. APRIL K MCINTYRE N.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MCINTYRE
Provider First Name:
APRIL
Provider Middle Name:
K
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
N.P.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1811318181
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/11/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3087
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HAMMOND
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70404-3087
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
985-230-3656
Provider Business Mailing Address Fax Number:
985-370-7409

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
17199 SPRING RANCH RD
Provider Second Line Business Practice Location Address:
NORTH OAKS PRIMARY CARE - LIVINGSTON, SUITE 200
Provider Business Practice Location Address City Name:
LIVINGSTON
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70754-2900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-686-4930
Provider Business Practice Location Address Fax Number:
225-686-4931
Provider Enumeration Date:
01/03/2014

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  AP07681 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2357743 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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