Active NPI
Susan L McKean
- Case Manager/Care Coordinator
- Amite, LA
National Provider Identifier
1972874543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 11236 Hwy 16 W.
Amite, LA 70422 - Phone
- (985) 748-2220
- Fax
- (985) 748-2236
- NPI assigned
- Jan 13, 2012
- Last updated
- Jan 13, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
11236 Hwy 16 W.
Amite, LA 70422
Mailing address
17139 Winterfield Way
Kentwood, LA 70444-7573
Phone (985) 748-2220
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326412800000",
"number": "1972874543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17139 WINTERFIELD WAY",
"city": "KENTWOOD",
"state": "LA",
"postal_code": "704447573",
"telephone_number": "985-748-2220",
"fax_number": "985-748-2236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11236 HWY 16 W.",
"city": "AMITE",
"state": "LA",
"postal_code": "70422",
"telephone_number": "985-748-2220",
"fax_number": "985-748-2236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEAN",
"first_name": "SUSAN",
"middle_name": "L",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-13",
"last_updated": "2012-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amite, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.