Active NPI
Cathy Shelton Banks, DD, THEOLOGY
- Case Manager/Care Coordinator
- Lake Charles, LA
National Provider Identifier
1295355071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1639 Ryan St
Lake Charles, LA 70601-5948 - Phone
- (337) 721-7957
- NPI assigned
- Apr 21, 2020
- 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 | Primary |
Addresses
Primary practice location
1639 Ryan St
Lake Charles, LA 70601-5948
Mailing address
5 Par Dr
Lake Charles, LA 70605-5925
Phone (337) 263-5448
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587427200000",
"number": "1295355071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 PAR DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055925",
"telephone_number": "337-263-5448",
"fax_number": "337-263-5448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1639 RYAN ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015948",
"telephone_number": "337-721-7957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "CATHY",
"middle_name": "SHELTON",
"name_prefix": "Dr.",
"credential": "DD, THEOLOGY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-21",
"last_updated": "2020-04-21",
"certification_date": "2020-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.