Laquetta Jarvis

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1056 E Worthy St Ste B
Gonzales, LA 70737-4369

Phone

(225) 621-5770

Fax

(225) 644-3208

NPI assigned

Nov 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Capital Area Human Services District

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gonzales, LA
  • NPI 1730104654
  NPD
• Capital Area Human Services District

  • Adult Medicine Physician
  • Baton Rouge, LA
  • NPI 1609609023
  NPD (past)

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1003573437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66558",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708966558",
            "telephone_number": "225-621-5770",
            "fax_number": "225-644-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 E WORTHY ST STE B",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374369",
            "telephone_number": "225-621-5770",
            "fax_number": "225-644-3208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "LAQUETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Ashley Jackson
• Taye-Rafael Jackson
• Vanessa Jacobs, BA
• Shanda James, LPC-S, NCC, BC-TMH
• Jannaiah C. Tripuraneni MD LLC
• Lisa C Jasper
• Danielle Dixon Jenkins, M.T.
• Jeannie Y. Jo, D.P.M.
• Brittany Ragas Johnson, NP
• Charla Johnson, DNP, RN, ONC

• Case Manager/Care Coordinator in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.