Individual provider Active NPI

Kim Yvette Miles, M.S.W.

  • Case Manager/Care Coordinator
  • Baton Rouge, LA
National Provider Identifier
1578276267
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1913 Carolina St
Baton Rouge, LA 70802-5010
Phone
(504) 287-9429
NPI assigned
Dec 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 8175 LA
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

1913 Carolina St
Baton Rouge, LA 70802-5010

Mailing address

7055 Tullis Dr
New Orleans, LA 70131-2273
Phone (504) 287-9429

Other practice location 1

1202 Monroe St
Gretna, LA 70053-2307
Phone (504) 309-6798

Other identifiers 1

IdentifierTypeStateIssuer
8175OtherLALA STATE BOARD OF SOCIAL WORKERS

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

State licenses

LicenseStateTypeSpecialty
8175LAMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1578276267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7055 TULLIS DR",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701312273",
            "telephone_number": "504-287-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 CAROLINA ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708025010",
            "telephone_number": "504-287-9429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Gretna",
            "state": "LA",
            "postal_code": "700532307",
            "country_code": "US",
            "telephone_number": "504-309-6798",
            "fax_number": "504-407-2115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "KIM",
        "middle_name": "YVETTE",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "8175",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA STATE BOARD OF SOCIAL WORKERS",
            "identifier": "8175",
            "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 Jun 6, 2023; 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.