Rosalind Calloway

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

8590 Issued in LA

Practice address

1519 Creswell Ave
Shreveport, LA 71101-4774

Phone

(318) 869-1899

NPI assigned

Sep 30, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Creative Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Shreveport, LA
  • NPI 1699142026
  NPD (past)

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1992175152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 AVONDALE LN",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711124265",
            "telephone_number": "318-918-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 CRESWELL AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014774",
            "telephone_number": "318-869-1899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3018 Old Minden Rd Ste 1117",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711122497",
            "country_code": "US",
            "telephone_number": "318-746-1935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLOWAY",
        "first_name": "ROSALIND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "8590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952846313",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark C Callanan, MD
• Emily Calland, GSW
• Mark Walter Callaway, M.D.
• Amanda Lynn Callegan-Poche', MD
• Jason Patrick Calligas, M.D.
• David James Caltrider, MD
• Julianne Honore Calvin
• Gabriella Elizabeth Camacho, DPT
• Joseph Camarano
• Cambize Shahrdar MD and Willis-Knighton Medical Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.

Verify at the official NPI Registry.