Mary Grace Failla

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

670 Albemarle Dr # 1403
Shreveport, LA 71106-5945

Phone

(318) 327-8404

NPI assigned

May 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1619616448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 ALBEMARLE DR # 1403",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711065945",
            "telephone_number": "318-327-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 ALBEMARLE DR # 1403",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711065945",
            "telephone_number": "318-327-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAILLA",
        "first_name": "MARY",
        "middle_name": "GRACE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amarachukwu Ezeume
• Nesha Fabela, PHARM.D.
• Amber Inez Faciane, PHARMD
• Ronda Marie Faciane, RN
• Shaimaa Yousry Arafa Fadel
• Chondra Fain
• Richard Nelson Fair, M.D.
• Tamika Raychaun Fair
• Devin Jeanene Faircloth, LPC
• Faith Care Transportation

• Case Manager/Care Coordinator in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.

Verify at the official NPI Registry.