Active NPI
Keiturah Dy'Mon Barber
- Case Manager/Care Coordinator
- Baton Rouge, LA
National Provider Identifier
1992470108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 11616 Southfork Ave Ste 401
Baton Rouge, LA 70816-5241 - Phone
- (225) 291-9641
- Fax
- (225) 291-9692
- NPI assigned
- Aug 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | LA | Primary |
Addresses
Primary practice location
11616 Southfork Ave Ste 401
Baton Rouge, LA 70816-5241
Mailing address
11616 Southfork Ave Ste 401
Baton Rouge, LA 70816-5241
Phone (225) 291-9642
Other practice location 1
11616 Southfork Ave Ste 401
Baton Rouge, LA 70816-5241
Phone (225) 291-9646
Other practice location 2
5616 Kilona Dr
Baton Rouge, LA 70812-2627
Phone (225) 436-3591
Other practice location 3
11616 Southfork Ave Ste 401
Baton Rouge, LA 70816-5241
Phone (225) 291-9646
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": "1628553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628553600000",
"number": "1992470108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11616 SOUTHFORK AVE STE 401",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708165241",
"telephone_number": "225-291-9642",
"fax_number": "225-291-9694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11616 SOUTHFORK AVE STE 401",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708165241",
"telephone_number": "225-291-9641",
"fax_number": "225-291-9692"
}
],
"practiceLocations": [
{
"address_1": "11616 Southfork Ave Ste 401",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708165241",
"country_code": "US",
"telephone_number": "225-291-9646",
"fax_number": "225-291-9692",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5616 Kilona Dr",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708122627",
"country_code": "US",
"telephone_number": "225-436-3591",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11616 Southfork Ave Ste 401",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708165241",
"country_code": "US",
"telephone_number": "225-291-9646",
"fax_number": "225-291-9692",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARBER",
"first_name": "KEITURAH",
"middle_name": "DY'MON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-10",
"last_updated": "2021-08-10",
"certification_date": "2021-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "LA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.