KIMBERLY DEANNA NICOLE ANDERSON
NPI 1770479412
Case Manager/Care Coordinator in Shreveport, LA

NPI Status: Active since June 17, 2025

Contact Information

2924 KNIGHT ST STE 369
SHREVEPORT, LA
ZIP 71105
Phone: (318) 210-0587

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  • Individual
  • Female
  • Case Manager/Care Coordinator

About KIMBERLY DEANNA ANDERSON

This page provides the complete NPI Profile along with additional information for Kimberly Deanna Anderson, a provider established in Shreveport, Louisiana with a medical specialization in Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1770479412 assigned on June 2025. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an individual and her NPI record was last updated June 2025.

NPI
1770479412
Provider Name
KIMBERLY DEANNA NICOLE ANDERSON
Gender
Female
Entity Type
Individual
Location Address
2924 KNIGHT ST STE 369 SHREVEPORT, LA 71105
Location Phone
(318) 210-0587
Mailing Address
105 CLEVELAND ST BENTON, LA 71006
Mailing Phone
(318) 230-5215
Is Sole Proprietor?
No
Enumeration Date
06-17-2025
Last Update Date
06-17-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
Taxonomy Description
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.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770479412
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27140871842
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 8 + 7 + 1 + 8 + 4 + 2 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 22

The NPI number 1770479412 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457649881 TAWNYA J STEWART
Individual
Social Worker (Clinical)2924 KNIGHT ST STE 369
SHREVEPORT, LA 71105
(318) 210-0587
1003581851 DEON THORNTON
Individual
Case Manager/Care Coordinator2924 KNIGHT ST STE 369
SHREVEPORT, LA 71105
(318) 210-0587
1275290843 DESTINY SIMPTON
Individual
Case Manager/Care Coordinator2924 KNIGHT ST STE 369
SHREVEPORT, LA 71105
(318) 210-0587
1710647045 LOMIA WATKINS
Individual
Case Manager/Care Coordinator2924 KNIGHT ST STE 369
SHREVEPORT, LA 71105
(318) 210-0587
1255092235 MALIK HAMPTON-PRIOLEAU
Individual
Case Manager/Care Coordinator2924 KNIGHT ST STE 369
SHREVEPORT, LA 71105
(318) 210-0587
1336876366 SHYKERIA KING
Individual
Case Manager/Care Coordinator2924 KNIGHT ST STE 369
SHREVEPORT, LA 71105
(318) 210-0587
1043753890 VICKIE MCDONALD
Individual
Counselor (Mental Health)2924 KNIGHT ST STE 369
SHREVEPORT, LA 71105
(318) 210-0587
1295422954 RAVEN THOMAS
Individual
Case Manager/Care Coordinator2924 KNIGHT ST STE 369
SHREVEPORT, LA 71105
(318) 210-0587
1124488952 DEBRA ELAINE HARTZO LMSW
Individual
Social Worker2924 KNIGHT ST STE 369
SHREVEPORT, LA 71105
(318) 210-0587
1467979708FINDING A BETTER ME
Organization
Community/Behavioral Health2924 KNIGHT ST STE 369
SHREVEPORT, LA 71105
(318) 210-0587
1558089151 CHELSI WINTER MEANS CSW
Individual
Social Worker2924 KNIGHT ST STE 369
SHREVEPORT, LA 71105
(318) 210-0587
1760106330 PATRICE BENNETT-HAMMITT PLPC
Individual
Counselor (Mental Health)2924 KNIGHT ST STE 369
SHREVEPORT, LA 71105
(318) 210-0587
1871336172 PASHUN WALKER
Individual
Case Manager/Care Coordinator2924 KNIGHT ST STE 369
SHREVEPORT, LA 71105
(318) 210-0587
1073331526 JESSICA WILLIAMS
Individual
Case Manager/Care Coordinator2924 KNIGHT ST STE 369
SHREVEPORT, LA 71105
(318) 210-0587
1740038314LIVE OUT LOUD COUNSELING
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))2924 KNIGHT ST STE 369
SHREVEPORT, LA 71105
(318) 621-4323
1902369804 KEYUNDRA GRANT MSW, CSW
Individual
Social Worker2924 KNIGHT ST STE 369
SHREVEPORT, LA 71105
(318) 210-0587
1225849524 ELIZABETH GRACE MCKELLAR
Individual
Case Manager/Care Coordinator2924 KNIGHT ST STE 369
SHREVEPORT, LA 71105
(318) 210-0587
1003341371 A'LYECIA RUTH STILLS LMSW
Individual
Social Worker2924 KNIGHT ST STE 369
SHREVEPORT, LA 71105
(318) 210-0587
1962206839 ONEISHA THOMPSON
Individual
Counselor (Professional)2924 KNIGHT ST STE 369
SHREVEPORT, LA 71105
(318) 210-0587

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770479412, enumerated in the NPI registry as an "individual" on June 17, 2025

The provider is located at 2924 Knight St Ste 369 Shreveport, La 71105 and the phone number is (318) 210-0587

The provider's speciality is Case Manager/Care Coordinator with taxonomy code 171M00000X

This NPI record was last updated on June 17, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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