Sophia Blackshear

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1602 W Pinhook Rd Ste 201
Lafayette, LA 70508-3735

Phone

(337) 534-0770

NPI assigned

Jun 23, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Insight Guidance Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lafayette, LA
  • NPI 1871957787
  NPD

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1821667809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 W PINHOOK RD STE 201",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W PINHOOK RD STE 201",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083735",
            "telephone_number": "337-534-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSHEAR",
        "first_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Almacen Bisquera, M.D.
• BKC Mental Wellness, LLC
• BKW MD LLC
• Jeneen A Black-Turner, APRN
• Caroline Blackman, PT, DPT
• Sarah Blady
• Blair
• James Douglas Blair, ED.D
• Katherine Frances Blaise
• Susan Blakstone, LCSW

• Case Manager/Care Coordinator in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; 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.