Individual provider Active NPI

Sarannette Frontaura Duck, MBA MA LPC

  • Professional Counselor
  • Shreveport, LA
National Provider Identifier
1265699268
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3413 Issued in LA
Practice address
1006 Highland Ave
Shreveport, LA 71101-4103
Phone
(318) 678-7500
NPI assigned
May 19, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3413 LA Primary

Addresses

Primary practice location

1006 Highland Ave
Shreveport, LA 71101-4103

Mailing address

5919 Clearview Cir
Bossier City, LA 71111-5654
Phone (318) 518-7239

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
Credentials
Master of Arts, Master of Business Administration

State licenses

LicenseStateTypeSpecialty
3413LAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1265699268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5919 CLEARVIEW CIR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115654",
            "telephone_number": "318-518-7239",
            "fax_number": "318-549-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 HIGHLAND AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014103",
            "telephone_number": "318-678-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRONTAURA DUCK",
        "first_name": "SARANNETTE",
        "name_prefix": "Mrs.",
        "credential": "MBA MA LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3413",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 19, 2008; 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.