Individual provider Active NPI

Latasha Phelps, MS

  • Case Manager/Care Coordinator
  • Harvey, LA
National Provider Identifier
1295268118
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2051 8TH St
Harvey, LA 70058
Phone
(504) 355-1186
NPI assigned
Apr 7, 2017
Last updated
Jun 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X LA Primary

Addresses

Primary practice location

2051 8TH St
Harvey, LA 70058

Mailing address

5130 Cardiff St
Dallas, TX 75241-1508
Phone (469) 279-1712

Other practice location 1

2273 Barataria Blvd
Marrero, LA 70072-5456
Phone (504) 648-6820

Other practice location 2

200 S Broad St Ste 7
New Orleans, LA 70119-6447
Phone (504) 309-9991

Other practice location 3

1101 Franklin Ave
Gretna, LA 70053-2312
Phone (504) 729-0408

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 Science

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Start LLC PastSince Mar 13, 2018 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1295268118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 CARDIFF ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752411508",
            "telephone_number": "469-279-1712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 8TH ST",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "70058",
            "telephone_number": "504-355-1186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2273 Barataria Blvd",
            "address_purpose": "LOCATION",
            "city": "Marrero",
            "state": "LA",
            "postal_code": "700725456",
            "country_code": "US",
            "telephone_number": "504-648-6820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 S Broad St Ste 7",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701196447",
            "country_code": "US",
            "telephone_number": "504-309-9991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "LA",
            "postal_code": "700532312",
            "country_code": "US",
            "telephone_number": "504-729-0408",
            "fax_number": "504-361-5973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "LATASHA",
        "name_prefix": "Ms.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harvey, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.