Veronica Stacker

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4012 Carter St
Vidalia, LA 71373

Phone

(318) 336-8383

NPI assigned

Apr 16, 2018

Last updated

Jun 20, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• GTTB LLC

  dba J & K Drug

  • Community/Retail Pharmacy
  • Columbia, LA
  • NPI 1497310916
  NPD

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1265929186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117",
            "city": "WATERPROOF",
            "state": "LA",
            "postal_code": "713750117",
            "telephone_number": "318-749-5594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 CARTER ST",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "71373",
            "telephone_number": "318-336-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACKER",
        "first_name": "VERONICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Smith
• Charlene Deonne Smith, MS,CCC-A
• Terry Glynn Smith
• Wagih Sous
• Danielle Spencer, MHP
• Ta'Larra Stampley
• Twyane Gail Stewart
• Shakeria Stumps
• Sunshine Therapeutic Group Home LLC
• Sweet Dreams I LLC

• Case Manager/Care Coordinator in Vidalia, LA
• Providers in Vidalia, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.