Individual provider Active NPI

Mary Edwards

  • Case Manager/Care Coordinator
  • Metairie, LA
National Provider Identifier
1043682230
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
7809 Airline Dr Ste 305a
Metairie, LA 70003
Phone
(504) 267-1234
Fax
(504) 324-2094
NPI assigned
Oct 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

7809 Airline Dr Ste 305a
Metairie, LA 70003

Mailing address

7809 Airline Dr Ste 305a
Metairie, LA 70003-6448
Phone (504) 289-5412

Other practice location 1

2400 Veterans Memorial Blvd
Ste. 215
Kenner, LA 70062-4715
Phone (504) 320-9382

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": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1043682230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7809 AIRLINE DR STE 305A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700036448",
            "telephone_number": "504-289-5412",
            "fax_number": "504-324-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7809 AIRLINE DR STE 305A",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70003",
            "telephone_number": "504-267-1234",
            "fax_number": "504-324-2094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Veterans Memorial Blvd",
            "address_2": "Ste. 215",
            "address_purpose": "LOCATION",
            "city": "Kenner",
            "state": "LA",
            "postal_code": "700624715",
            "country_code": "US",
            "telephone_number": "504-320-9382",
            "fax_number": "504-241-6548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "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 Jun 7, 2018; 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.