Individual provider Active NPI

Lucille Phillips, CASE MANAGER

  • Case Manager/Care Coordinator
  • Metairie, LA
National Provider Identifier
1033703590
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
4300 S I 10 Service Rd W Ste 17
Metairie, LA 70001-7405
Phone
(504) 841-0007
Fax
(504) 841-0023
NPI assigned
Feb 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X LA Primary

Addresses

Primary practice location

4300 S I 10 Service Rd W Ste 17
Metairie, LA 70001-7405

Mailing address

4300 S I 10 Service Rd W Ste 117
Metairie, LA 70001-7427
Phone (504) 841-0007

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

NPI Registry JSON

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

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1033703590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 S I 10 SERVICE RD W STE 117",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700017427",
            "telephone_number": "504-841-0007",
            "fax_number": "504-841-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 S I 10 SERVICE RD W STE 17",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700017405",
            "telephone_number": "504-841-0007",
            "fax_number": "504-841-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "LUCILLE",
        "credential": "CASE MANAGER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-25",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.