SUNNY R MCDANIEL (NPI# 1003137597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003137597 |
| Entity Type | Individual |
| Full Name | SUNNY R MCDANIEL |
| Credential | FNP-C |
| Practice Address |
120 Innwood Dr Covington LA 70433-9123 |
| Mailing Address |
1055 David Dr. Morgan City LA 70380-1300 |
| Practice Telephone | 9858923225 |
| Practice Fax Number | 9858927677 |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2016-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP06195 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | AMERIGROUP | 01626891 | 01 |
| LA | 2119222 | 05 | |
| LA | LACARE | 60110926 | 01 |
| Street Address |
120 INNWOOD DR |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-9123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477526598 | Stephen D Levine | Pediatrics | 120 Innwood Dr, Covington, LA 70433-9123 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134665250 | Mindy Decker Kass | Nurse Practitioner | 319 S Tyler St, Covington, LA 70433-3037 | 2017-01-12 |
| 1053715318 | Deborah Edwards Davis | Nurse Practitioner | 2501 Valley Ridge Road, Covington, VA 24426-6339 | 2014-10-15 |
| 1811916067 | Brandy M Andrew | Nurse Practitioner | 1850 Madison Street, Covington, KY 41011 | 2006-07-19 |
| 1972155174 | Haley Reynolds | Nurse Practitioner | 4152 Baker St Ne, Covington, GA 30014-1404 | 2019-07-09 |
| 1629537634 | Amanda Vallen West | Nurse Practitioner | 5211 Highway 278 Ne, Covington, GA 30014-2671 | 2019-03-19 |
| 1124494588 | Hannah Addis | Nurse Practitioner | 4181 Hospital Dr Ne, Suite 202, Covington, GA 30014-2541 | 2015-08-19 |
| 1164826350 | Erin Michelle Wattles | Nurse Practitioner | 17700 Se 272nd St, Covington, WA 98042-4951 | 2014-10-16 |
| 1710395660 | Jennifer Dorand Guillory | Nurse Practitioner | 4405 Highway 190 East Service Rd, Covington, LA 70433-4957 | 2014-07-23 |
| 1770993560 | Daphnee Leigh Stewart | Nurse Practitioner | 4152 Baker St Ne, Covington, GA 30014-1404 | 2014-05-01 |
| 1467727263 | Julie Buff Walter | Nurse Practitioner | 4181 Hospital Dr Ne, Suite 202, Covington, GA 30014-2541 | 2012-03-13 |
| Find all providers in COVINGTON | ||||
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| 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.