Active NPI
Jacob Peltier
- Case Manager/Care Coordinator
- Baton Rouge, LA
National Provider Identifier
1578033163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 150 Cora Dr
Baton Rouge, LA 70815-4201 - Phone
- (225) 387-1611
- NPI assigned
- Nov 27, 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
150 Cora Dr
Baton Rouge, LA 70815-4201
Mailing address
150 Cora Dr
Baton Rouge, LA 70815-4201
Phone (225) 387-1611
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000 | Medicaid | LA | |
| RAC-5050 | Other | LA | LAADRA |
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": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1578033163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 CORA DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708154201",
"telephone_number": "225-387-1611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 CORA DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708154201",
"telephone_number": "225-387-1611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELTIER",
"first_name": "JACOB",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-27",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000000",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LAADRA",
"identifier": "RAC-5050",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.