Active NPI
Jackeline Aileen Mercado
- Case Manager/Care Coordinator
- Baton Rouge, LA
National Provider Identifier
1619475126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 9420 Lindale Ave Ste a
Baton Rouge, LA 70815 - Phone
- (225) 442-3540
- Fax
- (224) 442-3546
- NPI assigned
- Jan 30, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
9420 Lindale Ave Ste a
Baton Rouge, LA 70815
Mailing address
14435 Brightview CT
Baton Rouge, LA 70819-4006
Phone (225) 810-6445
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": "1517270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553126400000",
"number": "1619475126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14435 BRIGHTVIEW CT",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708194006",
"telephone_number": "225-810-6445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9420 LINDALE AVE STE A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70815",
"telephone_number": "225-442-3540",
"fax_number": "224-442-3546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "JACKELINE",
"middle_name": "AILEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-30",
"last_updated": "2019-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"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 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.