Active NPI
Kellie Cheeri Davis
- Case Manager/Care Coordinator
- Lafayette, LA
National Provider Identifier
1902279524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 114 Exchange PL Ste 114
Lafayette, LA 70503 - Phone
- (337) 291-2815
- Fax
- (337) 291-2817
- NPI assigned
- Nov 4, 2015
- Last updated
- Mar 29, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
114 Exchange PL Ste 114
Lafayette, LA 70503
Mailing address
114 Exchange PL Ste 114
Lafayette, LA 70503-2510
Phone (337) 291-2815
Other practice location 1
123 Church Street
Louisiana, LA 70585
Phone (337) 662-3737
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1902279524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 EXCHANGE PL STE 114",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032510",
"telephone_number": "337-291-2815",
"fax_number": "337-291-2817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 EXCHANGE PL STE 114",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "70503",
"telephone_number": "337-291-2815",
"fax_number": "337-291-2817"
}
],
"practiceLocations": [
{
"address_1": "123 Church Street",
"address_purpose": "LOCATION",
"city": "Louisiana",
"state": "LA",
"postal_code": "70585",
"country_code": "US",
"telephone_number": "337-662-3737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "KELLIE",
"middle_name": "CHEERI",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-04",
"last_updated": "2021-03-29",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.