Active NPI
Latasha Phelps, MS
- Case Manager/Care Coordinator
- Harvey, LA
National Provider Identifier
1295268118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 2051 8TH St
Harvey, LA 70058 - Phone
- (504) 355-1186
- NPI assigned
- Apr 7, 2017
- Last updated
- Jun 26, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Start LLC | Past | 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.
-
- Health Maintenance Organization
- Gretna, LA
- NPI 1174076061
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
- Ivanyka Irieal Perkins
- Perseverance Excellence Courage Community Medical Tran.Service LLC (4US Transportation Service)
- Linda Pham, DC
- Tuong-VI Vivian Pham
- Vincent Pham, DDS
- Audrey M Phillips
- Phlebotomy Express Services, LLC
- Tanya Lynette Pierre, LCSW
- Kimberlin Diane Pittman, PMHNP-BC
- Brandi Plaisance, LCSW
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.