Individual provider Active NPI

Micheal Courtney

  • Case Manager/Care Coordinator
  • Baton Rouge, LA
National Provider Identifier
1033867833
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
0000 Issued in LA
Practice address
4147 Trinity LN
Baton Rouge, LA 70820-4213
Phone
(225) 202-7757
NPI assigned
Mar 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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 0000 LA Primary

Addresses

Primary practice location

4147 Trinity LN
Baton Rouge, LA 70820-4213

Mailing address

4147 Trinity LN
Baton Rouge, LA 70820-4213
Phone (225) 202-7757

Other identifiers 1

IdentifierTypeStateIssuer
000000MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Admin@peakbhs.com

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

LicenseStateTypeSpecialty
0000LAMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1033867833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4147 TRINITY LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708204213",
            "telephone_number": "225-202-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4147 TRINITY LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708204213",
            "telephone_number": "225-202-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "MICHEAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "0000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Admin@peakbhs.com",
            "affiliation": "N",
            "address_1": "4147 Trinity Ln",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708204213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; 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.