Individual provider Active NPI

Charles Drake Paul

  • Case Manager/Care Coordinator
  • Baton Rouge, LA
National Provider Identifier
1578322277
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2347 Gracie St
Baton Rouge, LA 70802-3088
Phone
(225) 329-3342
NPI assigned
Mar 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X LA Primary

Addresses

Primary practice location

2347 Gracie St
Baton Rouge, LA 70802-3088

Mailing address

2347 Gracie St
Baton Rouge, LA 70802-3088
Phone (225) 329-3342

Other practice location 1

2347 Gracie Street
Baton Rouge, LA 70802
Phone (225) 329-3342

Other practice location 2

2347 Gracie St
Baton Rouge, LA 70802-3088
Phone (225) 329-3342

Other practice location 3

2347 Gracie St
Baton Rouge, LA 70802-3088
Phone (225) 329-3342

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": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1578322277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2347 GRACIE ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708023088",
            "telephone_number": "225-329-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2347 GRACIE ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708023088",
            "telephone_number": "225-329-3342"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2347 Gracie Street",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "70802",
            "country_code": "US",
            "telephone_number": "225-329-3342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2347 Gracie St",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708023088",
            "country_code": "US",
            "telephone_number": "225-329-3342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2347 Gracie St",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708023088",
            "country_code": "US",
            "telephone_number": "225-329-3342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "CHARLES",
        "middle_name": "DRAKE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 15, 2024; 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.