Active NPI
Nakeisha Marie Avie Kyle
- Case Manager/Care Coordinator
- New Orleans, LA
National Provider Identifier
1912483967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 4164 Maple Leaf Dr
New Orleans, LA 70131 - Phone
- (504) 508-9291
- NPI assigned
- Jul 12, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 14447 | LA | |
| Case Manager/Care Coordinator | 171M00000X | LA | Primary |
Addresses
Primary practice location
4164 Maple Leaf Dr
New Orleans, LA 70131
Mailing address
4164 Maple Leaf Dr
New Orleans, LA 70131-7423
Phone (504) 508-9291
Other practice location 1
1836 Saint Bernard Ave
New Orleans, LA 70116-1329
Phone (504) 603-2389
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010020958 | Other | LA | DRIVERS LICENSE |
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 |
|---|---|---|---|
| 14447 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662508800000",
"number": "1912483967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4164 MAPLE LEAF DR",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701317423",
"telephone_number": "504-508-9291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4164 MAPLE LEAF DR",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70131",
"telephone_number": "504-508-9291"
}
],
"practiceLocations": [
{
"address_1": "1836 Saint Bernard Ave",
"address_purpose": "LOCATION",
"city": "New Orleans",
"state": "LA",
"postal_code": "701161329",
"country_code": "US",
"telephone_number": "504-603-2389",
"fax_number": "504-609-3366",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KYLE",
"first_name": "NAKEISHA",
"middle_name": "MARIE AVIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-12",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "LA",
"license": "14447",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "010020958",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Orleans, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.