Kieshia M Doherty

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

7569 E Industrial Dr
Baton Rouge, LA 70805-7518

Phone

(225) 924-9164

Fax

(225) 924-5479

NPI assigned

May 1, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Resurrection & New Life Fellowship

  • Case Manager/Care Coordinator
  • Baton Rouge, LA
  • NPI 1932504842
  NPD (past)
• RNLF Counseling Services

  • Mental Health Counselor
  • Baton Rouge, LA
  • NPI 1225527658

  Case Manager/Care Coordinator

  NPD (past)

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1376031740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 45698",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708954698",
            "telephone_number": "225-924-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7569 E INDUSTRIAL DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708057518",
            "telephone_number": "225-924-9164",
            "fax_number": "225-924-5479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "KIESHIA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caleb Elijah Dodd, PA
• Tyra Dodd, LCSW
• Eva Amanda Dodge, P.A.
• Kelsey Renee Doguet, MD
• Erin Doherty, LPC
• Denton Doiron, PHARM.D
• Shannon Doiron
• Thomas Louis Doiron, CRNA
• Ross Michael Doize, M.D.
• Adrienne Castille Dolan, PA-C

• Case Manager/Care Coordinator in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.