Individual provider Active NPI

Mariah Bianca Prosper

  • Case Manager/Care Coordinator
  • Gretna, LA
National Provider Identifier
1174308852
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2550 Belle Chasse Hwy Ste 220
Gretna, LA 70053-6733
Phone
(504) 367-6888
Fax
(844) 273-8127
NPI assigned
Aug 30, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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 LA Primary

Addresses

Primary practice location

2550 Belle Chasse Hwy Ste 220
Gretna, LA 70053-6733

Mailing address

PO Box 1831
Gretna, LA 70054-1831
Phone (504) 367-6888

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

OrganizationSpecialtyStatusNew patients
Ops Family Care, LLC CurrentSince Sep 5, 2023 Accepting new patients

Locations

2550 Belle Chasse Hwy
Ste 220
Gretna, LA 70053
Phone (504) 321-3370

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.

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1174308852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1831",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700541831",
            "telephone_number": "504-367-6888",
            "fax_number": "844-273-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 BELLE CHASSE HWY STE 220",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700536733",
            "telephone_number": "504-367-6888",
            "fax_number": "844-273-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSPER",
        "first_name": "MARIAH",
        "middle_name": "BIANCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.