Active NPI
Joseph Aaron Rossum, MHS
- Case Manager/Care Coordinator
- Shreveport, LA
National Provider Identifier
1558869396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 9403 Mansfield Rd
Shreveport, LA 71118 - Phone
- (318) 603-4396
- NPI assigned
- Jan 26, 2018
- Sex
- Male
- 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
9403 Mansfield Rd
Shreveport, LA 71118
Mailing address
7442 Waterwood Dr
Greenwood, LA 71033-3366
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760852511 | Other | LA | LOUISIANA HEALTH CONECTION |
| 1760852511 | Other | LA | FUNCTION FAMILY THERAPY |
| 1760852511 | Other | LA | AMERIGROUP |
| 1760852511 | Medicaid | LA | |
| 1760852511 | Other | LA | AMERICARE |
| 1760852511 | Other | LA | AETNA |
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": "1516924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1558869396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7442 WATERWOOD DR",
"city": "GREENWOOD",
"state": "LA",
"postal_code": "710333366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9403 MANSFIELD RD",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71118",
"telephone_number": "318-603-4396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSSUM",
"first_name": "JOSEPH",
"middle_name": "AARON",
"credential": "MHS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-26",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOUISIANA HEALTH CONECTION",
"identifier": "1760852511",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FUNCTION FAMILY THERAPY",
"identifier": "1760852511",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "1760852511",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1760852511",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICARE",
"identifier": "1760852511",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "1760852511",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.