Individual provider Active NPI

Ramona Grayson

  • Case Manager/Care Coordinator
  • Rayville, LA
National Provider Identifier
1669830063
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
114 Ineichen St
Rayville, LA 71269
Phone
(318) 417-7780
Fax
(318) 728-1140
NPI assigned
Feb 1, 2016
Last updated
May 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Case Manager/Care Coordinator 171M00000X NU Primary

Addresses

Primary practice location

114 Ineichen St
Rayville, LA 71269

Mailing address

2404 Ferrand St Ste 23
Monroe, LA 71201-3233
Phone (318) 323-0463

Other practice location 1

114 Ineichen St
Rayville, LA 71269-3223
Phone (318) 417-7780

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
Immanuels Healing Center Past 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": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1669830063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 FERRAND ST STE 23",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712013233",
            "telephone_number": "318-323-0463",
            "fax_number": "318-323-0465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 INEICHEN ST",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "71269",
            "telephone_number": "318-417-7780",
            "fax_number": "318-728-1140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "114 Ineichen St",
            "address_purpose": "LOCATION",
            "city": "Rayville",
            "state": "LA",
            "postal_code": "712693223",
            "country_code": "US",
            "telephone_number": "318-417-7780",
            "fax_number": "318-728-1140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAYSON",
        "first_name": "RAMONA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rayville, LA

Sources for this page

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