Active NPI
Carlette Dunn
- Case Manager/Care Coordinator
- Baton Rouge, LA
National Provider Identifier
1659119907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 11408 Lake Sherwood Ave N Ste a
Baton Rouge, LA 70816-0421 - Phone
- (225) 261-7143
- Fax
- (225) 250-1026
- NPI assigned
- Jul 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | LA | ||
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
11408 Lake Sherwood Ave N Ste a
Baton Rouge, LA 70816-0421
Mailing address
11408 Lake Sherwood Ave N Ste a
Baton Rouge, LA 70816-0421
Phone (225) 261-7143
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3777614 | Medicaid | LA | |
| 3777649 | Medicaid | LA | |
| 3777631 | 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1659119907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11408 LAKE SHERWOOD AVE N STE A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708160421",
"telephone_number": "225-261-7143",
"fax_number": "225-250-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11408 LAKE SHERWOOD AVE N STE A",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708160421",
"telephone_number": "225-261-7143",
"fax_number": "225-250-1026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "CARLETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-18",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "LA",
"license": null,
"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": "3777614",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3777649",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3777631",
"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 Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.