Travon Rideau

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

209 N Main St
Opelousas, LA 70570-6256

Phone

(337) 942-6400

NPI assigned

Oct 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthy You Social Services, LLC

  • Community/Behavioral Health Agency
  • Opelousas, LA
  • NPI 1942508510
  NPD (past)

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561075200000",
    "number": "1922470160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N MAIN ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706256",
            "telephone_number": "337-942-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 N MAIN ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706256",
            "telephone_number": "337-942-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Bertrand Dr",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705065632",
            "country_code": "US",
            "telephone_number": "337-261-8781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDEAU",
        "first_name": "TRAVON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2019-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": "101YM0800X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "letrice3883@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "209 N Main St",
            "city": "Opelousas",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705706256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha Ann Richard
• Travis Richard
• Zachery Dwayne Richard
• Edna Richardson, LCSW
• Pascol Rideau
• Mikaylia Danielle Rideaux
• Carie Darlene Rives-Vickery, M.C.D. , CCC-A
• Roderic R Rix
• Road Runners Reliable Transportation LLC
• James J Robert Jr., DDS

• Case Manager/Care Coordinator in Opelousas, LA
• Providers in Opelousas, LA by specialty
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.

Verify at the official NPI Registry.