NPI |
1952893349 |
|
Entity Type Code |
1 |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
Provider Last Name Legal Name |
COULON |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
Provider First Name |
DARYL |
The first name of the provider, if the provider
is an individual. |
Provider Middle Name |
JOSEPH |
The middle name of the provider, if the provider
is an individual. |
Provider Name Suffix Text |
SR. |
The name suffix of the provider if the provider
is an individual. The name suffix is a ‘‘generation-related’’ suffix, such as Jr., Sr., II, III, IV, or V. |
Provider First Line Business Practice Location Address |
3301 LASALLE ST |
The name suffix of the provider if the provider
is an individual. The name suffix is a ‘‘generation-related’’ suffix, such as Jr., Sr., II, III, IV, or V. |
Provider Business Practice Location Address City Name |
NEW ORLEANS |
The city name in the location address of the provider being identified. |
Provider Business Practice Location Address State Name |
LA |
The city name in the location address of the provider being identified. |
Provider Business Practice Location Address Postal Code |
70115 |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
Provider Business Practice Location Address Country Code If outside U S |
US |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
Provider Business Practice Location Address Telephone Number |
5045186383 |
The telephone number associated with the location address of the provider being identified. |
Provider Enumeration Date |
6/1/2018 |
The telephone number associated with the location address of the provider being identified. |
Last Update Date |
8/22/2018 |
The date that a record was last updated or changed. |
Provider Gender Code |
M |
The date that a record was last updated or changed. |
Healthcare Provider Taxonomy Code 1 |
101Y00000X |
Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1. |
Healthcare Provider Primary Taxonomy Switch 1 |
N |
|
Healthcare Provider Taxonomy Code 2 |
101YM0800X |
|
Healthcare Provider Primary Taxonomy Switch 2 |
N |
|
Healthcare Provider Taxonomy Code 3 |
171M00000X |
|
Healthcare Provider Primary Taxonomy Switch 3 |
Y |
|
Is Sole Proprietor |
N |
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No |