Latasha Rena Raby

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

13295 Fowler Dr
Walker, LA 70785-3443

Phone

(225) 316-8468

NPI assigned

Jun 23, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Latasha Raby Stelly Former name

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": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1619864675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13295 FOWLER DR",
            "city": "WALKER",
            "state": "LA",
            "postal_code": "707853443",
            "telephone_number": "225-316-8468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13295 FOWLER DR",
            "city": "WALKER",
            "state": "LA",
            "postal_code": "707853443",
            "telephone_number": "225-316-8468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3084 Westfork Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708162254",
            "country_code": "US",
            "telephone_number": "225-296-6083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABY",
        "first_name": "LATASHA",
        "middle_name": "RENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATASHA",
            "last_name": "STELLY",
            "middle_name": "RABY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Jennifer Ragusa, PHARMD.
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• Jack R Reid Jr., MD
• Cydney Reyna, M.A., L-SLP, CCC-SLP

• Case Manager/Care Coordinator in Walker, LA
• Providers in Walker, 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 Jun 23, 2025; 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.