Active NPI
Ladarius D Ealy
- Case Management Agency
- Natchitoches, LA
National Provider Identifier
1386009264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 101YM0800X
- Practice address
- 102 Kyle St
Natchitoches, LA 71457-3686 - Phone
- (318) 461-0790
- NPI assigned
- Dec 21, 2015
- Sex
- Male
- 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 Management Agency | 251B00000X | 101YM0800X | LA | Primary |
Addresses
Primary practice location
102 Kyle St
Natchitoches, LA 71457-3686
Mailing address
102 Kyle St
Natchitoches, LA 71457-3686
Phone (318) 461-0790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YM0800X | 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 |
|---|---|---|---|
| 101YM0800X | LA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450656000000",
"number": "1386009264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 KYLE ST",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714573686",
"telephone_number": "318-461-0790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 KYLE ST",
"city": "NATCHITOCHES",
"state": "LA",
"postal_code": "714573686",
"telephone_number": "318-461-0790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EALY",
"first_name": "LADARIUS",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-12-21",
"last_updated": "2015-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "LA",
"license": "101YM0800X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101YM0800X",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Natchitoches, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.