Active NPI
Tawana Wayne
- Case Manager/Care Coordinator
- Ruston, LA
National Provider Identifier
1780326462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 305 E Mississippi Ave Ste 1
Ruston, LA 71270-3905 - Phone
- (318) 202-3706
- NPI assigned
- Apr 12, 2022
- Last updated
- Mar 11, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
305 E Mississippi Ave Ste 1
Ruston, LA 71270-3905
Mailing address
1000 Chinaberry Dr Ste 900
Bossier City, LA 71111-2455
Phone (318) 202-3706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101Y00000X | Medicaid | LA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family New Life Rehabilitation Center, Inc. | Current | Accepting new patients | |
| Rehab Services of NE la, LLC | Past | Accepting new patients |
Locations
3100 Kilpatrick Blvd
Ste 100
Monroe, LA 71201
Phone (318) 325-8048
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Family New Life
- Community/Behavioral Health Agency
- Monroe, LA
- NPI 1578626537
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Monroe, LA
- NPI 1891018826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1780326462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CHINABERRY DR STE 900",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711112455",
"telephone_number": "318-202-3706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 E MISSISSIPPI AVE STE 1",
"city": "RUSTON",
"state": "LA",
"postal_code": "712703905",
"telephone_number": "318-202-3706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAYNE",
"first_name": "TAWANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-12",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101Y00000X",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ruston, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.