Julia Sample

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

17412 Lake Vista Dr
Greenwell Springs, LA 70739-4757

Phone

(225) 907-8843

NPI assigned

Nov 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1275290959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17412 LAKE VISTA DR",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707394757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17412 LAKE VISTA DR",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707394757",
            "telephone_number": "225-907-8843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPLE",
        "first_name": "JULIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00000",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Admin@peakbhs.com",
            "affiliation": "N",
            "address_1": "17412 Lake Vista Dr",
            "city": "Greenwell Springs",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707394757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kevin A Rogers, O.D.
• Alyssa Rooks
• John Roshto, DDS
• Lauren Sagona, NP
• Michele Marie Salassi, M.D.
• Dantae Sanders, MA
• Tangie Short
• Tiffany Leah Shorts
• Leah Rene' Singh, CCC-SLP
• Adonnie Singleton

• Case Manager/Care Coordinator in Greenwell Springs, LA
• Providers in Greenwell Springs, 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 Nov 17, 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.

Verify at the official NPI Registry.