Active NPI
Destiny Walker
- Case Manager/Care Coordinator
- Baton Rouge, LA
National Provider Identifier
1629566831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 11616 Southfork Ave Ste 401
Baton Rouge, LA 70816-5241 - Phone
- (225) 291-9646
- NPI assigned
- Apr 24, 2018
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 14719 | LA | |
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
11616 Southfork Ave Ste 401
Baton Rouge, LA 70816-5241
Mailing address
1417 W Morris Ave Ste E
Hammond, LA 70403-3854
Phone (985) 542-9949
Other practice location 1
1417 W Morris Ave Ste E
Hammond, LA 70403-3854
Phone (859) 542-9949
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1108804 | Medicaid | LA |
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 |
|---|---|---|---|
| 14719 | LA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Beginnings Behavioral Healthcare Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Developmentally Disabled Services Day Training Agency
- Hammond, LA
- NPI 1316161730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1629566831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 W MORRIS AVE STE E",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704033854",
"telephone_number": "985-542-9949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11616 SOUTHFORK AVE STE 401",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708165241",
"telephone_number": "225-291-9646"
}
],
"practiceLocations": [
{
"address_1": "1417 W Morris Ave Ste E",
"address_purpose": "LOCATION",
"city": "Hammond",
"state": "LA",
"postal_code": "704033854",
"country_code": "US",
"telephone_number": "859-542-9949",
"fax_number": "985-542-9946",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WALKER",
"first_name": "DESTINY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-24",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "14719",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1108804",
"state": "LA"
}
],
"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 Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.