Roxanne Carmouche Evbuomwan, MASTER DEGREE

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

011812898 Issued in LA

Practice address

1639 Ryan St
Lake Charles, LA 70601

Phone

(337) 602-6391

Fax

(337) 602-6392

NPI assigned

Apr 7, 2017

Last updated

Jul 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1659804565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1639 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015948",
            "telephone_number": "337-602-6391",
            "fax_number": "337-602-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70601",
            "telephone_number": "337-602-6391",
            "fax_number": "337-602-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMOUCHE EVBUOMWAN",
        "first_name": "ROXANNE",
        "name_prefix": "Mrs.",
        "credential": "MASTER DEGREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "011812898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011812898",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffani Jo Carlin
• Carlos M. Choucino, MD, Apmc
• Carmichael's Cashway Pharmacy Inc (Carmichaels Pharmacy Ihp)
• Carmichael's Cashway Pharmacy, Inc.
• Carmichael's Pharmacy Ihp
• Candis Carr, NCC, LPC, LMFT, CEAP
• Leslie Richard Carr
• Sandra White Carr
• Katelyn Elizabeth Carrell, MD
• Ashley Carrier

• Case Manager/Care Coordinator in Lake Charles, LA
• Providers in Lake Charles, 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 Jul 31, 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.

Verify at the official NPI Registry.