Individual provider Active NPI

La'Canjala N Latin, MASTERS DEGREE

  • Case Manager/Care Coordinator
  • Lake Charles, LA
National Provider Identifier
1174011175
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
008881583 Issued in LA
Practice address
1639 Ryan St
Lake Charles, LA 70601-5948
Phone
(337) 602-6391
Fax
(337) 602-6392
NPI assigned
Apr 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 008881583 LA Primary

Addresses

Primary practice location

1639 Ryan St
Lake Charles, LA 70601-5948

Mailing address

1639 Ryan St
Lake Charles, LA 70601-5948
Phone (337) 602-6391

Other identifiers 1

IdentifierTypeStateIssuer
008881583MedicaidLA

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

State licenses

LicenseStateTypeSpecialty
008881583LAMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1174011175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015948",
            "telephone_number": "337-602-6391",
            "fax_number": "337-602-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015948",
            "telephone_number": "337-602-6391",
            "fax_number": "337-602-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATIN",
        "first_name": "LA'CANJALA",
        "middle_name": "N",
        "credential": "MASTERS DEGREE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "008881583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008881583",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.