Individual provider Active NPI

Felicia Cargo

  • Case Manager/Care Coordinator
  • Gonzales, LA
National Provider Identifier
1396349072
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
41012 Villa CT S
Gonzales, LA 70737-8941
Phone
(225) 253-1797
NPI assigned
Nov 24, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Specialties & licenses 1

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

Addresses

Primary practice location

41012 Villa CT S
Gonzales, LA 70737-8941

Mailing address

41012 Villa CT S
Gonzales, LA 70737-8941
Phone (225) 253-1797

Other identifiers 1

IdentifierTypeStateIssuer
000000MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Admin@peakbhs.colm

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

Interoperability endpoints

  • Direct secure messaging: admin@peakbhs.colm

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1396349072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41012 VILLA CT S",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707378941",
            "telephone_number": "225-253-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41012 VILLA CT S",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707378941",
            "telephone_number": "225-253-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARGO",
        "first_name": "FELICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Admin@peakbhs.colm",
            "affiliation": "N",
            "address_1": "41012 Villa Ct S",
            "city": "Gonzales",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707378941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.