Active NPI
Valencia Douglas
- Community Health Worker
- Violet, LA
National Provider Identifier
1184082299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 5636 E Judge Perez Dr Ste F
Violet, LA 70092-2946 - Phone
- (504) 708-9431
- NPI assigned
- Feb 3, 2016
- Last updated
- Oct 3, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | NU | Primary |
Addresses
Primary practice location
5636 E Judge Perez Dr Ste F
Violet, LA 70092-2946
Mailing address
2208 Munster Blvd
Meraux, LA 70075-2410
Phone (504) 708-9431
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 |
|---|---|---|---|
| Faith Transportation LLC | Current | Accepting new patients | |
| Faith Pca Services LLC | Current | Accepting new patients | |
| Serenity Outreach Center, LLC | Mental Health | Past | Accepting new patients |
Locations
5636 E Judge Perez Dr
Ste F
Violet, LA 70092
Phone (504) 581-8945
Organizations & group practices 3
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.
-
- Home Health Agency
- Violet, LA
- NPI 1962282368
-
- Transportation Network Company
- Meraux, LA
- NPI 1215650312
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Orleans, LA
- NPI 1689052284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1184082299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 MUNSTER BLVD",
"city": "MERAUX",
"state": "LA",
"postal_code": "700752410",
"telephone_number": "504-708-9431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5636 E JUDGE PEREZ DR STE F",
"city": "VIOLET",
"state": "LA",
"postal_code": "700922946",
"telephone_number": "504-708-9431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLAS",
"first_name": "VALENCIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-03",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Violet, LA
- Communicating Our Way Speech and Language Pathology Outpatient Service
- Cortney McLellan PLLC
- Cortney McLellan, LPC
- D&D Transportation Services of Louisiana LLC
- Divine Intervention Treatment Facility LLC
- E D & J Group Home
- Extended Family Care LLC
- Faith Pca Services LLC
- Four Reasons LLC
- Danielle Green
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.