Individual provider Active NPI

Jamilah Myal, PEER SPECIALIST

  • Case Manager/Care Coordinator
  • New Orleans, LA
National Provider Identifier
1639542285
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
1050 S Jefferson Davis Pkwy Ste 325
New Orleans, LA 70125-1234
Phone
(504) 821-7085
Fax
(504) 304-2276
NPI assigned
Nov 4, 2015
Last updated
Mar 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X NU Primary
Peer Specialist 175T00000X NU

Addresses

Primary practice location

1050 S Jefferson Davis Pkwy Ste 325
New Orleans, LA 70125-1234

Mailing address

1050 S Jefferson Davis Pkwy Ste 325
New Orleans, LA 70125-1234
Phone (504) 821-7085

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

Practice roles

OrganizationSpecialtyStatusNew patients
Resources for Human Development PastSince Mar 29, 2020 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1639542285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 S JEFFERSON DAVIS PKWY STE 325",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701251234",
            "telephone_number": "504-821-7085",
            "fax_number": "504-304-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 S JEFFERSON DAVIS PKWY STE 325",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701251234",
            "telephone_number": "504-821-7085",
            "fax_number": "504-304-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYAL",
        "first_name": "JAMILAH",
        "credential": "PEER SPECIALIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.