DEMETRIA CARTER (NPI# 1366984312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366984312 |
| Entity Type | Individual |
| Full Name | DEMETRIA CARTER |
| Practice Address |
4164 Mcmichael Ave Shreveport LA 71119 |
| Mailing Address |
4164 Mcmichael Ave Shreveport LA 71119-7518 |
| Practice Telephone | 3184531025 |
| Mailing Telephone | 3184531025 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2018-05-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
4164 MCMICHAEL AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549825 | Andrea Lekesha Brown | Case Manager/Care Coordinator | 3518 Milky Way, Shreveport, LA 71119 | 2019-10-11 |
| 1003380213 | Eiyana Middleton | Case Manager/Care Coordinator | 5720 S Lakeshore Dr Apt 1711, Shreveport, LA 71119 | 2019-01-22 |
| 1508341264 | Cassandra Marshall | Case Manager/Care Coordinator | 5905 Candlewood, Shreveport, LA 71119 | 2018-09-28 |
| 1184125734 | Shunda Huff | Case Manager/Care Coordinator | 5636 S Lakeshore Dr Apt 632, Shreveport, LA 71119 | 2018-02-27 |
| 1093239162 | Nicole Devona Wahsington | Counselor | 2811 Metal Street, Shreveport, LA 71119 | 2017-07-31 |
| 1396266318 | Cynthia M Thomas | Driver | 6407 Santa Monica Blvd., Shreveport, LA 71119 | 2017-06-29 |
| 1154861771 | Allan Thomas | Case Manager/Care Coordinator | 3205 Linda St, Shreveport, LA 71119 | 2017-03-01 |
| 1033667712 | Mary Craig | Case Manager/Care Coordinator | 6215 Border Ln, Shreveport, LA 71119 | 2016-09-12 |
| 1538615067 | Jesse Fallis | Counselor | New Day Recovery/ Shreveport, 6240 Greenwood Rd, Shreveport, LA 71119 | 2016-08-25 |
| 1629427331 | Donette Scroggins | Case Manager/Care Coordinator | 6605 Venus Dr, Shreveport, LA 71119 | 2016-06-03 |
| Find all providers in zip 71119 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360887 | Halena Jones | Case Manager/Care Coordinator | 9409 Chaparral Ln, Shreveport, LA 71118-4337 | 2020-09-11 |
| 1598376196 | Michaela Nicole Bradley | Case Manager/Care Coordinator | 10021 Stratmore Cir, Shreveport, LA 71115-3416 | 2020-08-17 |
| 1619585791 | Kimberly Bissell | Case Manager/Care Coordinator | 7505 Pines Rd Ste 1115, Shreveport, LA 71129-3900 | 2020-07-15 |
| 1902414170 | Unique Lashae Lister | Case Manager/Care Coordinator | 2611 Corbitt St, Shreveport, LA 71108-2805 | 2020-07-14 |
| 1407474828 | Angela Harris | Case Manager/Care Coordinator | 1111 W 70th St Apt 93, Shreveport, LA 71106-3558 | 2020-07-13 |
| 1669096921 | Ryan Barham | Case Manager/Care Coordinator | 824 Oneonta St, Shreveport, LA 71106-1130 | 2020-06-02 |
| 1922621085 | Julian White | Case Manager/Care Coordinator | 8529 Grover Pl, Shreveport, LA 71115-2707 | 2020-05-24 |
| 1396368817 | Shannon Marie Cannon | Case Manager/Care Coordinator | 1543 Summers St, Shreveport, LA 71108-3131 | 2020-05-19 |
| 1730701954 | Brianna Mason | Case Manager/Care Coordinator | 1533 Marshall St, Shreveport, LA 71101-3941 | 2020-05-11 |
| 1295355238 | Angela Rice | Case Manager/Care Coordinator | 2704 Frostwood Dr, Shreveport, LA 71108-5524 | 2020-04-20 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71119 |
Please comment or provide details below to improve the information on DEMETRIA CARTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.