Active NPI
Takaila Oliphant
- Case Manager/Care Coordinator
- Vicksburg, MS
National Provider Identifier
1548845035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1905A Mission 66
Vicksburg, MS 39180-3711 - Phone
- (601) 738-5820
- NPI assigned
- Mar 16, 2021
- Sex
- Female
- Sole proprietor
- No
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 Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1905A Mission 66
Vicksburg, MS 39180-3711
Mailing address
805 N Beech St
Tallulah, LA 71282-3809
Phone (318) 574-0098
Other practice location 1
805 N Beech St
Tallulah, LA 71282-3809
Phone (318) 574-0098
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1548845035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 N BEECH ST",
"city": "TALLULAH",
"state": "LA",
"postal_code": "712823809",
"telephone_number": "318-574-0098",
"fax_number": "318-574-0066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1905A MISSION 66",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391803711",
"telephone_number": "601-738-5820"
}
],
"practiceLocations": [
{
"address_1": "805 N Beech St",
"address_purpose": "LOCATION",
"city": "Tallulah",
"state": "LA",
"postal_code": "712823809",
"country_code": "US",
"telephone_number": "318-574-0098",
"fax_number": "318-574-0066",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLIPHANT",
"first_name": "TAKAILA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-03-16",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vicksburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.