Active NPI
Tiria Brown
- Case Manager/Care Coordinator
- Hammond, LA
National Provider Identifier
1356709257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 11020
- Practice address
- 1417 W Morris Ave Ste E
Hammond, LA 70403-3854 - Phone
- (985) 542-9949
- NPI assigned
- Feb 5, 2016
- Last updated
- Sep 17, 2018
- 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 | 11020 | LA | Primary |
Addresses
Primary practice location
1417 W Morris Ave Ste E
Hammond, LA 70403-3854
Mailing address
1417 W Morris Ave Ste E
Hammond, LA 70403-3854
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1108804 | Medicaid | LA |
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 |
|---|---|---|---|
| 11020 | LA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537142400000",
"number": "1356709257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 W MORRIS AVE STE E",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704033854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1417 W MORRIS AVE STE E",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704033854",
"telephone_number": "985-542-9949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "TIRIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-05",
"last_updated": "2018-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": "11020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1108804",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.