Active NPI
Zhaquan Porter
- Case Manager/Care Coordinator
- Alexandria, LA
National Provider Identifier
1124552047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3921 Independence Dr Ste 104
Alexandria, LA 71303 - Phone
- (318) 542-4288
- NPI assigned
- Apr 18, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
3921 Independence Dr Ste 104
Alexandria, LA 71303
Mailing address
2211 Weymouth Dr
Baton Rouge, LA 70809-2017
Phone (225) 923-3733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600964601 | Medicaid | LA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| We Care Behavioral Health, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Alexandria, LA
- NPI 1881055507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602806400000",
"number": "1124552047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 WEYMOUTH DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708092017",
"telephone_number": "225-923-3733",
"fax_number": "225-923-3735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3921 INDEPENDENCE DR STE 104",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "71303",
"telephone_number": "318-542-4288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTER",
"first_name": "ZHAQUAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-18",
"last_updated": "2020-10-16",
"certification_date": "2020-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600964601",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.