Coretta Abrams
Individual provider Active NPI Case Manager/Care Coordinator · Shreveport, LA
NPI 1881296432 · NPPES record last updated Nov 9, 2020
Key facts
- NPI
- 1881296432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 2800 Youree Dr Ste 482
Shreveport, LA 71104-3666 - Phone
- (318) 869-1899
- NPI assigned
- Nov 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
2800 Youree Dr Ste 482
Shreveport, LA 71104-3666
Mailing address
2800 Youree Dr Ste 482
Shreveport, LA 71104-3666
Phone (318) 869-1899
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | corettaabrams.chcs@gmail.com |
NPI Registry JSON
{
"created_epoch": "1604880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604880000000",
"number": "1881296432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 YOUREE DR STE 482",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711043666",
"telephone_number": "318-869-1899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 YOUREE DR STE 482",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711043666",
"telephone_number": "318-869-1899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAMS",
"first_name": "CORETTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-09",
"last_updated": "2020-11-09",
"certification_date": "2020-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "corettaabrams.chcs@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"address_1": "2800 Youree Dr Ste 482",
"city": "Shreveport",
"state": "LA",
"country_code": "US",
"postal_code": "711043666",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Shreveport, LA
- Emmanuel Abodoh
- Halim Salim Abou-Faycal
- Above and Beyond Healthcare Center
- Christian Saz Shiva Abrahim
- Carlye Abrams
- Delton Abrams
- Adrian Paul Abreo
- Fleurette Wilheimina Abreo
- Kenneth Dominic Abreo
- Zulqarnain Abro
All providers in Shreveport, LA · Case Manager/Care Coordinator in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.