Active NPI
Jinesha Nicloe Landers
- Case Manager/Care Coordinator
- Monroe, LA
National Provider Identifier
1669132031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 645 Hwy 80 East
Living Water Family Services
Monroe, LA 71203 - Phone
- (318) 343-8744
- Fax
- (318) 345-7123
- NPI assigned
- Dec 27, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
645 Hwy 80 East
Living Water Family Services
Monroe, LA 71203
Mailing address
645 Hwy 80 East
Living Water Family Services
Monroe, LA 71203
Phone (318) 343-8744
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": "1640563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640736000000",
"number": "1669132031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 HWY 80 EAST",
"address_2": "LIVING WATER FAMILY SERVICES",
"city": "MONROE",
"state": "LA",
"postal_code": "71203",
"telephone_number": "318-343-8744",
"fax_number": "318-345-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 HWY 80 EAST",
"address_2": "LIVING WATER FAMILY SERVICES",
"city": "MONROE",
"state": "LA",
"postal_code": "71203",
"telephone_number": "318-343-8744",
"fax_number": "318-345-7123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDERS",
"first_name": "JINESHA",
"middle_name": "NICLOE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-27",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.