McKenzy Claonie Ellis

Individual provider Active NPI Case Manager/Care Coordinator · Baker, LA

NPI 1306735162 · NPPES record last updated Jun 28, 2025

Key facts

NPI
1306735162
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
350 Main St
Baker, LA 70714-3767
Phone
(225) 301-7525
NPI assigned
Jun 28, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

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

Addresses

Primary practice location

350 Main St
Baker, LA 70714-3767

Mailing address

12351 Sherbrook Dr
Baton Rouge, LA 70815-6645

Other providers in Baker, LA

All providers in Baker, LA · Case Manager/Care Coordinator in Louisiana

Sources for this page

Verify at the official NPI Registry.