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)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Other URL corettaabrams.chcs@gmail.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 9, 2020.

{
    "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

All providers in Shreveport, LA · Case Manager/Care Coordinator in Louisiana

Sources for this page

Verify at the official NPI Registry.