Tamara Legquan Charles
Individual provider Active NPI Case Manager/Care Coordinator · Scott, LA
NPI 1194357699 · NPPES record last updated Jan 15, 2021
Key facts
- NPI
- 1194357699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 124 Abigayle Row
Scott, LA 70583-8909 - Phone
- (337) 945-9459
- NPI assigned
- Feb 12, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pivotal Moments LLC | Current |
Accepting new patients |
Locations
124 Abigayle Row
Scott, LA 70583
Phone (337) 313-4300
124 Abigayle Row
Ste 4
Scott, LA 70583
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
124 Abigayle Row
Scott, LA 70583-8909
Mailing address
124 Abigayle Row
Scott, LA 70583-8909
Phone (337) 945-9459
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00000000000 | Medicaid | LA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pivotalmomentsllc@yaho.com | ||
| CONNECT URL | PivotalMomentsLLC |
Other providers in Scott, LA
- Cashway Pharmacy of Scott Inc
- Jamie Marie Castille
- Ryan Antonio Cazares
- Hannah Godeaux Chachere
- Jason T Chambers
- Porshia Chevalier
- Courtney Citizen
- Danielle Eden Cointot
- Col Imaging Solutions LLC
- Steven Troy Collins
All providers in Scott, LA · Case Manager/Care Coordinator in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.