Active NPI
Kim Yvette Miles, M.S.W.
- Case Manager/Care Coordinator
- Baton Rouge, LA
National Provider Identifier
1578276267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8175 | Other | LA | LA 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
| License | State | Type | Specialty |
|---|---|---|---|
| 8175 | LA | MD | Social 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.