Shakara Tillis

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4348 S Jeffrey Dr Ste 102
Baton Rouge, LA 70816-4196

Phone

(225) 361-0219

NPI assigned

Oct 2, 2018

Last updated

Oct 2, 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• La Excel Care Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baton Rouge, LA
  • NPI 1205228335
  NPD (past)
• La Excelcare

  • Case Management Agency
  • Baton Rouge, LA
  • NPI 1285245712
  NPD (past)

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1689159030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4898 HIGHWAY 448",
            "city": "GREENSBURG",
            "state": "LA",
            "postal_code": "704413428",
            "telephone_number": "225-571-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4348 S JEFFREY DR STE 102",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708164196",
            "telephone_number": "225-361-0219"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Veterans Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Denham Springs",
            "state": "LA",
            "postal_code": "707264723",
            "country_code": "US",
            "telephone_number": "225-369-2363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLIS",
        "first_name": "SHAKARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Meghan Tillery, MD
• Lenae Mallory Tillery X
• Emily George Tilley, LCSW
• Crystal M Tillis, PH.D.
• Selina Tillis
• Deliska Tillman
• Malachi Tillotson
• Timothy a. Bella, M.D.
• Charlasia Naquine Tine
• Mary Alice Tingle, RN-BC, CNOR, LMT

• Case Manager/Care Coordinator in Baton Rouge, LA
• Providers in Baton Rouge, 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 Oct 2, 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.