Terry McCallum, CPRSS/PSS/WRAP

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

2818 Jody LN
Shreveport, LA 71118-2536

Phone

(318) 795-9019

NPI assigned

Sep 7, 2016

Last updated

Sep 27, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1295282275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2818 JODY LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182536",
            "telephone_number": "318-795-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2818 JODY LN",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711182536",
            "telephone_number": "318-795-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLUM",
        "first_name": "TERRY",
        "credential": "CPRSS/PSS/WRAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-07",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "046",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latonya Shantel McCall
• Leah Annette McCall
• Shamatt Shanae McCall, LMSW
• Erin McCallister, PT, DPT
• Stanley Keith McCallon
• Payton Brooks McCalmont
• Faris McCalphin, MHS
• Raymond Drew McCandlish, RPH
• Hollie B. McCart, MD
• Charles C McCartney III, RPH

• Peer Specialist in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Peer Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.