Active NPI
Lataisha Gardner
- Case Manager/Care Coordinator
- Pineville, LA
National Provider Identifier
1861849952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 5145
- Practice address
- 2514 Valleyview Dr
Pineville, LA 71360 - Phone
- (318) 955-3927
- NPI assigned
- May 18, 2016
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 5145 | LA | |
| Case Manager/Care Coordinator | 171M00000X | 5145 | LA | Primary |
Addresses
Primary practice location
2514 Valleyview Dr
Pineville, LA 71360
Mailing address
2514 Valleyview Dr
Pineville, LA 71360-5820
Phone (318) 955-3927
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 |
|---|---|---|---|
| 5145 | LA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564444800000",
"number": "1861849952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2514 VALLEYVIEW DR",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713605820",
"telephone_number": "318-955-3927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2514 VALLEYVIEW DR",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "71360",
"telephone_number": "318-955-3927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "LATAISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-18",
"last_updated": "2019-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "LA",
"license": "5145",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": "5145",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pineville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.