Individual provider Active NPI

Ivan Myles Ferrouillet

  • Case Manager/Care Coordinator
  • New Orleans, LA
National Provider Identifier
1417313420
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
15066 Issued in LA
Practice address
127 S Solomon St
New Orleans, LA 70119-5928
Phone
(504) 676-0748
NPI assigned
Jan 6, 2016
Last updated
Jan 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 000000000000000000 LA
Case Manager/Care Coordinator 171M00000X 15066 LA Primary

Addresses

Primary practice location

127 S Solomon St
New Orleans, LA 70119-5928

Mailing address

127 S Solomon St
New Orleans, LA 70119-5928
Phone (504) 676-0748

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

LicenseStateTypeSpecialty
000000000000000000LAMDCounselor
15066LAMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1417313420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S SOLOMON ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195928",
            "telephone_number": "504-676-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S SOLOMON ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195928",
            "telephone_number": "504-676-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERROUILLET",
        "first_name": "IVAN",
        "middle_name": "MYLES",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-06",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "LA",
            "license": "000000000000000000",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "15066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.