Randi J De la Cruz

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1102 Commercial Dr
Hammond, LA 70403-5954

Phone

(985) 662-3799

Fax

(985) 662-3829

NPI assigned

Aug 12, 2020

Last updated

Oct 9, 2020By 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

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1689285876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48374 BARBARITA LN",
            "city": "TICKFAW",
            "state": "LA",
            "postal_code": "704664644",
            "telephone_number": "985-662-1396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 COMMERCIAL DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035954",
            "telephone_number": "985-662-3799",
            "fax_number": "985-662-3829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "RANDI",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YOOOOOX",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thelma Jhanice Dawson
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• Amanda Deadmond, MD
• John M Dean, LPC, LAC, NFA
• Natalie Dean, APRN-CNP
• Deanna Mathews, LPC, LLC
• Deanna Mathews, LPC, LLC

• Case Manager/Care Coordinator in Hammond, LA
• Providers in Hammond, 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 9, 2020; 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.