Tiffany Amber Baca

Individual provider Active NPI Case Manager/Care Coordinator · Baton Rouge, LA

NPI 1750139838 · NPPES record last updated Jun 4, 2024

Key facts

NPI
1750139838
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
8326 Kelwood Ave
Baton Rouge, LA 70806-4803
Phone
(985) 781-4444
NPI assigned
May 13, 2024
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

8326 Kelwood Ave
Baton Rouge, LA 70806-4803

Mailing address

8326 Kelwood Ave
Baton Rouge, LA 70806-4803

Other providers in Baton Rouge, LA

All providers in Baton Rouge, LA · Case Manager/Care Coordinator in Louisiana

Sources for this page

Verify at the official NPI Registry.