Individual provider Active NPI

Inita Brown, MS

  • Case Manager/Care Coordinator
  • Shreveport, LA
National Provider Identifier
1821519786
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
7505 Pines Rd Ste 1104
Shreveport, LA 71129
Phone
(318) 670-8313
Fax
(318) 828-1196
NPI assigned
Jun 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1538544390 LA
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

7505 Pines Rd Ste 1104
Shreveport, LA 71129

Mailing address

7505 Pines Rd Ste 1104
Shreveport, LA 71129-3900
Phone (318) 670-8313

Other practice location 1

1301 Youree Dr
Shreveport, LA 71101-5117
Phone (318) 675-0804

Other practice location 2

1301 Youree Dr
Shreveport, LA 71101-5117
Phone (318) 675-0804

Other practice location 3

3007 Knight St Ste 200
Shreveport, LA 71105-2525
Phone (318) 221-8244

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1538544390LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Services of Northwest Louisiana, LLC PastSince Jun 25, 2023 Accepting new patients
Easterseals 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": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821519786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 PINES RD STE 1104",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711293900",
            "telephone_number": "318-670-8313",
            "fax_number": "318-828-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 PINES RD STE 1104",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71129",
            "telephone_number": "318-670-8313",
            "fax_number": "318-828-1196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Youree Dr",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711015117",
            "country_code": "US",
            "telephone_number": "318-675-0804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Youree Dr",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711015117",
            "country_code": "US",
            "telephone_number": "318-675-0804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3007 Knight St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711052525",
            "country_code": "US",
            "telephone_number": "318-221-8244",
            "fax_number": "318-221-1995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "INITA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "1538544390",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.