Carrington Cammack
Individual provider Active NPI Case Manager/Care Coordinator · Lake Providence, LA
NPI 1457024978 · NPPES record last updated Aug 24, 2021
Key facts
- NPI
- 1457024978
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1700 Lake St
Lake Providence, LA 71254-5208 - Phone
- (318) 559-0551
- NPI assigned
- Jul 29, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1700 Lake St
Lake Providence, LA 71254-5208
Mailing address
110 University St
Tallulah, LA 71282-2504
Phone (318) 493-2038
Other providers in Lake Providence, LA
- Cathy Ann Baker
- Tamika Baker
- Alisa Bell
- Sheila Bell
- Patricia Brown
- Lena Carter
- Chapman Drugs Inc
- CLC of Lake Providence, LLC
- Mary Catherine Coon
- Carla C Costello
All providers in Lake Providence, LA · Case Manager/Care Coordinator in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.