Active NPI
Annette Williams
- Case Manager/Care Coordinator
- Harvey, LA
National Provider Identifier
1891150421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 15094
- Practice address
- 1120 Tensas Dr Apt C
Harvey, LA 70058-4528 - Phone
- (504) 704-9570
- NPI assigned
- Dec 26, 2015
- Last updated
- Jul 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 15094 | LA | Primary |
Addresses
Primary practice location
1120 Tensas Dr Apt C
Harvey, LA 70058-4528
Mailing address
1120 Tensas Dr Apt C
Harvey, LA 70058-4528
Phone (504) 704-9570
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 |
|---|---|---|---|
| 15094 | LA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563148800000",
"number": "1891150421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 TENSAS DR APT C",
"city": "HARVEY",
"state": "LA",
"postal_code": "700584528",
"telephone_number": "504-704-9570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 TENSAS DR APT C",
"city": "HARVEY",
"state": "LA",
"postal_code": "700584528",
"telephone_number": "504-704-9570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ANNETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-26",
"last_updated": "2019-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": "15094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harvey, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.