Stephanie Marsiglia Entwistle

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2210 Line Ave Ste 207
2210 Line Ave Ste 207
Shreveport, LA 71104-7110

Phone

(318) 617-5993

NPI assigned

Aug 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Marsiglia Entwistle Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1881249167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 JENKINS RD",
            "address_2": "720 JENKINS RD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "71107",
            "telephone_number": "318-464-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 LINE AVE STE 207",
            "address_2": "2210 LINE AVE STE 207",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711047110",
            "telephone_number": "318-617-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTWISTLE",
        "first_name": "STEPHANIE",
        "middle_name": "MARSIGLIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tkcl.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2210 Line Ave Ste 207",
            "address_2": "2210 Line Ave Ste 207",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "71104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "ENTWISTLE",
            "middle_name": "MARSIGLIA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Case Manager/Care Coordinator in Shreveport, LA
• Providers in Shreveport, 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 Aug 5, 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.

Verify at the official NPI Registry.