Casandra Kimberlain Tumblin, B.A.

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

1805 Virginian Colony Ave
La Place, LA 70068-2843

Phone

(985) 210-3358

Fax

(985) 653-8494

NPI assigned

Jan 19, 2007

Last updated

May 22, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1922151091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 VIRGINIAN COLONY AVE",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700682843",
            "telephone_number": "985-653-8494",
            "fax_number": "985-653-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 VIRGINIAN COLONY AVE",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700682843",
            "telephone_number": "985-210-3358",
            "fax_number": "985-653-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMBLIN",
        "first_name": "CASANDRA",
        "middle_name": "KIMBERLAIN",
        "credential": "B.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "LA",
            "license": "005181316",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922151091",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Attendant in La Place, LA
• Providers in La Place, LA by specialty
• Personal Care Attendant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.