Individual provider Active NPI

Kanneya Kay Ussin, PEER SUPPORT

  • Case Manager/Care Coordinator
  • New Orleans, LA
National Provider Identifier
1992589626
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
OBHPSS1045 Issued in LA
Practice address
3308 Tulane Ave Ste 405
New Orleans, LA 70119-7167
Phone
(504) 342-4222
Fax
(504) 342-4225
NPI assigned
Aug 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X OBHPSS1045 LA Primary

Addresses

Primary practice location

3308 Tulane Ave Ste 405
New Orleans, LA 70119-7167

Mailing address

403 N Hullen St
Metairie, LA 70001-5117
Phone (504) 875-7555

Other practice location 1

2601 Tulane Ave Ste 300
New Orleans, LA 70119-7499
Phone (504) 342-4222

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

State licenses

LicenseStateTypeSpecialty
OBHPSS1045LAMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1992589626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 N HULLEN ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015117",
            "telephone_number": "504-875-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3308 TULANE AVE STE 405",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701197167",
            "telephone_number": "504-342-4222",
            "fax_number": "504-342-4225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Tulane Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701197499",
            "country_code": "US",
            "telephone_number": "504-342-4222",
            "fax_number": "504-342-4225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "USSIN",
        "first_name": "KANNEYA",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "PEER SUPPORT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "LA",
            "license": "OBHPSS1045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.