Individual provider Active NPI

Alexandra Averil Scarbrough

  • Case Manager/Care Coordinator
  • Gonzales, LA
National Provider Identifier
1578127668
Registry record updated Aug 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1028 E Worthy St
Gonzales, LA 70737-4367
Phone
(504) 399-9851
NPI assigned
Apr 24, 2019
Last updated
Aug 31, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1028 E Worthy St
Gonzales, LA 70737-4367

Mailing address

21600 Oxnard St Ste 1800
Woodland Hills, CA 91367-7807
Phone (818) 345-2345

Other practice location 1

14196 Calice St
Gonzales, LA 70737-5969
Phone (228) 209-9993

Other practice location 2

1028 E Worthy St
Gonzales, LA 70737-4367
Phone (504) 399-9851

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": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567209600000",
    "number": "1578127668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21600 OXNARD ST STE 1800",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913677807",
            "telephone_number": "818-345-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 E WORTHY ST",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374367",
            "telephone_number": "504-399-9851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14196 Calice St",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "LA",
            "postal_code": "707375969",
            "country_code": "US",
            "telephone_number": "228-209-9993",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1028 E Worthy St",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "LA",
            "postal_code": "707374367",
            "country_code": "US",
            "telephone_number": "504-399-9851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCARBROUGH",
        "first_name": "ALEXANDRA",
        "middle_name": "AVERIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gonzales, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.