Active NPI
Clarece Zachary
- Case Manager/Care Coordinator
- Port Allen, LA
National Provider Identifier
1326844317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 00000
- Practice address
- 553 Burbridge St
Port Allen, LA 70767-2126 - Phone
- (225) 877-0969
- Fax
- (225) 612-6347
- NPI assigned
- Feb 20, 2025
- Sex
- Female
- Sole proprietor
- No
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 | 00000 | LA | Primary |
Addresses
Primary practice location
553 Burbridge St
Port Allen, LA 70767-2126
Mailing address
553 Burbridge St
Port Allen, LA 70767-2126
Phone (225) 877-0969
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00000 | LA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740009600000",
"number": "1326844317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "553 BURBRIDGE ST",
"city": "PORT ALLEN",
"state": "LA",
"postal_code": "707672126",
"telephone_number": "225-877-0969",
"fax_number": "225-612-6347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "553 BURBRIDGE ST",
"city": "PORT ALLEN",
"state": "LA",
"postal_code": "707672126",
"telephone_number": "225-877-0969",
"fax_number": "225-612-6347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZACHARY",
"first_name": "CLARECE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-20",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": "00000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Allen, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.