Active NPI
Donette Scroggins
- Case Manager/Care Coordinator
- Shreveport, LA
National Provider Identifier
1629427331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 009113967
- Practice address
- 6605 Venus Dr
Shreveport, LA 71119 - Phone
- (318) 294-8508
- NPI assigned
- Jun 3, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 009113967 | LA | Primary |
Addresses
Primary practice location
6605 Venus Dr
Shreveport, LA 71119
Mailing address
800 Spring St Ste 205
Shreveport, LA 71101-3757
Phone (318) 402-9983
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009113967 | LA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527811200000",
"number": "1629427331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 SPRING ST STE 205",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711013757",
"telephone_number": "318-402-9983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6605 VENUS DR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "71119",
"telephone_number": "318-294-8508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCROGGINS",
"first_name": "DONETTE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-03",
"last_updated": "2018-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": "009113967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.