Nanette M Lancaster

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

12844 Issued in LA

Practice address

615 Ee Wallace Blvd S
Ferriday, LA 71334-3224

Phone

(318) 757-9363

NPI assigned

Feb 22, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Cognitive Development Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tallulah, LA
  • NPI 1538236328
  NPD (past)
• Fairway Counseling Agency, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Alexandria, LA
  • NPI 1912281031
  NPD (past)

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1972060218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 METRO DR STE C1",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013446",
            "telephone_number": "318-625-7467",
            "fax_number": "318-625-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 EE WALLACE BLVD S",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713343224",
            "telephone_number": "318-757-9363"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1403 Metro Dr Ste C1",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "713013446",
            "country_code": "US",
            "telephone_number": "318-625-7467",
            "fax_number": "318-625-7420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3683 S First St",
            "address_purpose": "LOCATION",
            "city": "Jena",
            "state": "LA",
            "postal_code": "713426409",
            "country_code": "US",
            "telephone_number": "318-992-2263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANCASTER",
        "first_name": "NANETTE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "12844",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "12844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ieshia Jones
• Keystone Medical Services of Ferriday, Inc.
• Venessia King
• KNL Transit LLC
• Ktmedics Medical Transportation, LLC
• Michael Lauer, M.D.
• Alexa Lazarus
• Sarah C Lee, M.D.
• Melissa Lehman, RN
• Lending Hand Transportation

• All providers in Ferriday, LA
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.

Verify at the official NPI Registry.