Keyandra Griffin
Individual provider Active NPI Case Manager/Care Coordinator · Shreveport, LA
NPI 1588199954 · NPPES record last updated Dec 26, 2018
Key facts
- NPI
- 1588199954
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1301 Youree Dr
Shreveport, LA 71101-5117 - Phone
- (318) 675-0804
- NPI assigned
- Apr 24, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Remarkable Transport LLC | Current | Accepting new patients | |
| Rehabilitation Services of Northwest Louisiana, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1301 Youree Dr
Shreveport, LA 71101-5117
Mailing address
3625 Youree Dr
Shreveport, LA 71105-2121
Phone (318) 742-3408
Other practice location 1
543 Stoner Ave
Shreveport, LA 71101-4122
Phone (318) 575-1112
Other practice location 2
3018 Old Minden Rd Ste 1117
Bossier City, LA 71112-2497
Phone (318) 746-1935
Other providers in Shreveport, LA
- Sandeep Grewal
- Lakishia Lewis Grider
- Laurie Robin Grier
- F Dean Griffen
- Cabrina Griffin
- Tiffany Michelle Griffin
- Margaret L. Griffing
- Amy Griffith
- Melissa Griffith
- Kimberly L Griggs
All providers in Shreveport, LA · Case Manager/Care Coordinator in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.