Cassandra Serralta

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

S643112898870 Issued in FL

Practice address

2053 Gause Blvd E Ste 150
Slidell, LA 70461-5451

Phone

(985) 649-1001

NPI assigned

Mar 26, 2019

Last updated

Mar 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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

• Abundant Health, Inc.

  • Community/Behavioral Health Agency
  • Slidell, LA
  • NPI 1265748693
  NPD (past)

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1093276834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 GAUSE BLVD E STE 150",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615451",
            "telephone_number": "985-649-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 GAUSE BLVD E STE 150",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615451",
            "telephone_number": "985-649-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERRALTA",
        "first_name": "CASSANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": "S643112898870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selfmade Transportation Service, LLC
• Janet Seligson-Dowie, M.D.
• Francesca Sendra, LMSW
• Brittany Serpas, PLPC
• Michelle Serpas, M.D.
• Pedro A. Serrant, M.D.
• Tracey Settles, CSW
• Colleen M Sevin, RD, LDN
• Deshawn Seymore
• John Brian Seymour, MD

• Case Manager/Care Coordinator in Slidell, LA
• Providers in Slidell, 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 Mar 26, 2019; 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.