Mikaylia Danielle Rideaux

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

209 N Main St
Opelousas, LA 70570-6256

Phone

(337) 942-6400

Fax

(337) 948-7400

NPI assigned

Nov 5, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Healthy You Social Services, LLC

  • Community/Behavioral Health Agency
  • Opelousas, LA
  • NPI 1942508510
  NPD (past)

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1659915304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 S WASHINGTON ST APT 39",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705703943",
            "telephone_number": "337-692-6976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N MAIN ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706256",
            "telephone_number": "337-942-6400",
            "fax_number": "337-948-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "423 S Union St",
            "address_purpose": "LOCATION",
            "city": "Opelousas",
            "state": "LA",
            "postal_code": "705706119",
            "country_code": "US",
            "telephone_number": "337-407-5240",
            "fax_number": "844-723-8241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDEAUX",
        "first_name": "MIKAYLIA",
        "middle_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Richard
• Zachery Dwayne Richard
• Edna Richardson, LCSW
• Pascol Rideau
• Travon Rideau
• Carie Darlene Rives-Vickery, M.C.D. , CCC-A
• Roderic R Rix
• Road Runners Reliable Transportation LLC
• James J Robert Jr., DDS
• Cassandra Robertson, BS

• Case Manager/Care Coordinator in Opelousas, LA
• Providers in Opelousas, 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 Nov 5, 2019; 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.