Active NPI
Tanya Corbett
- Case Manager/Care Coordinator
- Bossier City, LA
National Provider Identifier
1619320728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1408 Magnolia RDG
Bossier City, LA 71112-5042 - Phone
- (516) 902-4526
- NPI assigned
- Jul 13, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LA | ||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1408 Magnolia RDG
Bossier City, LA 71112-5042
Mailing address
1408 Magnolia RDG
Bossier City, LA 71112-5042
Phone (516) 902-4526
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": "1468368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541376000000",
"number": "1619320728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 MAGNOLIA RDG",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711125042",
"telephone_number": "516-902-4526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 MAGNOLIA RDG",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711125042",
"telephone_number": "516-902-4526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORBETT",
"first_name": "TANYA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-13",
"last_updated": "2018-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"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 Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.