Active NPI
Lakisha Stewart
- Case Manager/Care Coordinator
- Shreveport, LA
National Provider Identifier
1255703328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2219 Claiborne Ave
Shreveport, LA 71103-4301 - Phone
- (318) 779-0434
- Fax
- (318) 210-0000
- NPI assigned
- Oct 28, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | LA | Primary |
Addresses
Primary practice location
2219 Claiborne Ave
Shreveport, LA 71103-4301
Mailing address
5400 Barksdale Blvd Apt 411
Bossier City, LA 71112-4692
Phone (318) 834-4785
Other practice location 1
2800 Youree Dr Ste 482
Shreveport, LA 71104-3666
Phone (318) 869-1899
Other practice location 2
2800 Youree Dr Ste 482
Shreveport, LA 71104-3666
Phone (318) 869-1899
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171M00000X | Medicaid | LA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1255703328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 BARKSDALE BLVD APT 411",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711124692",
"telephone_number": "318-834-4785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2219 CLAIBORNE AVE",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711034301",
"telephone_number": "318-779-0434",
"fax_number": "318-210-0000"
}
],
"practiceLocations": [
{
"address_1": "2800 Youree Dr Ste 482",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711043666",
"country_code": "US",
"telephone_number": "318-869-1899",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2800 Youree Dr Ste 482",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711043666",
"country_code": "US",
"telephone_number": "318-869-1899",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWART",
"first_name": "LAKISHA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-28",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171M00000X",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.