Individual provider Active NPI

Karmella Deshona Minor, LPN

  • Case Manager/Care Coordinator
  • Houma, LA
National Provider Identifier
1710016118
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
PCA 9568 Issued in LA
Practice address
406 Boykin St
Houma, LA 70360-4010
Phone
(985) 580-2165
Fax
(985) 223-4424
NPI assigned
Mar 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X PCA 9568 LA Primary

Addresses

Primary practice location

406 Boykin St
Houma, LA 70360-4010

Mailing address

406 Boykin St
Houma, LA 70360-4010
Phone (985) 580-2165

Other names 1

  • Miss Trisheka Ayanna Minor Other name

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

State licenses

LicenseStateTypeSpecialty
PCA 9568LAMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Caregivers Personal Assistance LLC Past Accepting new patients
Caregivers Personal Assistance LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710016118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 BOYKIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604010",
            "telephone_number": "985-580-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 BOYKIN ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604010",
            "telephone_number": "985-580-2165",
            "fax_number": "985-223-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOR",
        "first_name": "KARMELLA",
        "middle_name": "DESHONA",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "PCA 9568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISHEKA",
            "last_name": "MINOR",
            "middle_name": "AYANNA",
            "prefix": "MISS",
            "credential": "LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.