Active NPI
Elizabeth Callaway, L.C.D.C.
- Case Manager/Care Coordinator
- Corpus Christi, TX
National Provider Identifier
1770905341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 400 Mann St
Corpus Christi, TX 78401-2046 - Phone
- (361) 814-2001
- Fax
- (361) 883-1998
- NPI assigned
- Jan 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 8163 | TX | |
| Case Manager/Care Coordinator | 171M00000X | TX | Primary |
Addresses
Primary practice location
400 Mann St
Corpus Christi, TX 78401-2046
Mailing address
400 Mann St
Corpus Christi, TX 78401-2046
Phone (361) 814-2001
Other names 1
- Renee Callaway
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8163 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389744000000",
"number": "1770905341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MANN ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784012046",
"telephone_number": "361-814-2001",
"fax_number": "361-883-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MANN ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784012046",
"telephone_number": "361-814-2001",
"fax_number": "361-883-1998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAWAY",
"first_name": "ELIZABETH",
"credential": "L.C.D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-15",
"last_updated": "2014-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "8163",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RENEE",
"last_name": "CALLAWAY",
"credential": "L.C.D.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.