Individual provider Active NPI

Lydia Anne Jarmon

  • Case Manager/Care Coordinator
  • West Monroe, LA
National Provider Identifier
1912042912
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
PC0005802 Issued in LA
Practice address
644 Commercial Pkwy
West Monroe, LA 71292-8062
Phone
(318) 387-8099
Fax
(318) 387-7883
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X PC0005802 LA Primary

Addresses

Primary practice location

644 Commercial Pkwy
West Monroe, LA 71292-8062

Mailing address

PO Box 1739
West Monroe, LA 71294-1739
Phone (318) 387-8099

Other identifiers 1

IdentifierTypeStateIssuer
1957500MedicaidLA

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

LicenseStateTypeSpecialty
PC0005802LAMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1912042912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1739",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712941739",
            "telephone_number": "318-387-8099",
            "fax_number": "318-387-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "644 COMMERCIAL PKWY",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712928062",
            "telephone_number": "318-387-8099",
            "fax_number": "318-387-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARMON",
        "first_name": "LYDIA",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "PC0005802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1957500",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.