La'Tisha Shenay Chastang, BA
Individual provider Active NPI Case Manager/Care Coordinator · Gautier, MS
NPI 1043446552 · NPPES record last updated Jun 10, 2009
Key facts
- NPI
- 1043446552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 3407 Shamrock CT
Gautier, MS 39553-6429 - Phone
- (228) 497-0690
- Fax
- (228) 497-1363
- NPI assigned
- Jun 10, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
3407 Shamrock CT
Gautier, MS 39553-6429
Mailing address
3407 Shamrock CT
Gautier, MS 39553-6429
Phone (228) 497-0690
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00018214 | Medicaid | MS |
Other providers in Gautier, MS
- Delissa L Castleberry
- Julia Regina Cate
- Colleen Elaine Chambers
- Marquesha Lachelle Chaney
- Bernice Chastang
- Children'S International, LLC
- Brenda Childress
- Deveney M.K. Ching
- Sherry Laverne Chisholm
- Robin Rae Ciriello
All providers in Gautier, MS · Case Manager/Care Coordinator in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.