Eunice Wilkerson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4111 Metro Dr Ste B
Shreveport, LA 71109-6001

Phone

(318) 636-0391

Fax

(318) 635-3298

NPI assigned

Jan 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• An Endless Love Home Care, LLC

  • Point of Service
  • Shreveport, LA
  • NPI 1083743041
  NPD Authorized official

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

{
    "created_epoch": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547683200000",
    "number": "1124591706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 METRO DR STE B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711096001",
            "telephone_number": "318-636-0391",
            "fax_number": "318-635-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 METRO DR STE B",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711096001",
            "telephone_number": "318-636-0391",
            "fax_number": "318-635-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "EUNICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "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": []
}

• Angellun Vanessa Wilder, LCSW
• Rebecca J Wilder, DROT, LOTR
• Nicole Wiley
• Kenneth I Wilhite, RPH
• Arzeria L Wilkerson
• Everett Michael Wilkerson, RPH, D.PHARM
• Lekeshia Mishelay Wilkerson
• Miranda M Wilkerson, PT
• Christopher S. Wilkes
• Traci Michelle Wilkes

• Case Manager/Care Coordinator in Shreveport, LA
• Providers in Shreveport, 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 Jan 17, 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.