Jerri Floyd – Case Manager/Care Coordinator

Key facts

NPI: 1508096546
Entity type: Individual (NPI type 1)
Primary specialty: Case Manager/Care Coordinator 171M00000X
Practice address: 5490 Broadway
L3
Merrillville, IN 46410-1675
Phone: (219) 985-6170
Fax: (219) 985-6097
NPI assigned: Jul 24, 2009
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

AIDS Task Force of Laporte and Porter Counties Case Management Agency · Merrillville, IN · NPI 1962557579

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
AIDS Task Force of Laporte and Porter Counties		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Case Manager/Care Coordinator	171M00000X		IN	Yes

Addresses

Primary practice location

5490 Broadway
L3
Merrillville, IN 46410-1675

Mailing address

5490 Broadway
L3
Merrillville, IN 46410-1675
Phone (219) 985-6170

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 24, 2009.

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248393600000",
    "number": "1508096546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5490 BROADWAY",
            "address_2": "L3",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101675",
            "telephone_number": "219-985-6170",
            "fax_number": "219-985-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5490 BROADWAY",
            "address_2": "L3",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464101675",
            "telephone_number": "219-985-6170",
            "fax_number": "219-985-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "JERRI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-24",
        "last_updated": "2009-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

All providers in Merrillville, IN · Case Manager/Care Coordinator in Indiana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2009. 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.

Verify at the official NPI Registry.