CHARLOTTE RADDE (NPI# 1003356437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003356437 |
| Entity Type | Individual |
| Full Name | CHARLOTTE RADDE |
| Credential | NP |
| Practice Address |
1900 W Gauthier Rd Lake Charles LA 70605-7170 |
| Mailing Address |
926 Ashley Ln Sulphur LA 70665-7724 |
| Practice Telephone | 3374807050 |
| Mailing Telephone | 3372634980 |
| Enumeration Date | 2017-03-05 |
| Last Update Date | 2017-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
AP05179 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1900 W GAUTHIER RD |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-7170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801198528 | Lcms Maternal Fetal Medicine, LLC | Obstetrics & Gynecology | 1900 W Gauthier Rd, Lake Charles, LA 70605-7170 | 2010-12-01 |
| 1063046662 | Courtney Lynn Thomas | Nurse Practitioner | 1900 W Gauthier Rd, Lake Charles, LA 70605-7170 | 2020-02-24 |
| 1346731528 | Elizabeth Jane Phillips | Registered Nurse | 1900 W Gauthier Rd, Lake Charles, LA 70605-7170 | 2018-05-23 |
| 1083097034 | Jordan Daughenbaugh | Nurse Anesthetist, Certified Registered | 1900 W Gauthier Rd, Lake Charles, LA 70605-7170 | 2015-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427309400 | Jennifer Laviolette Vitellaro | Nurse Practitioner | 105 Fairfield Oaks Dr, Madisonville, LA 70447-9235 | 2012-10-01 |
| 1982961967 | Ashley L Bridges | Nurse Practitioner | 153 Ben Bridges Rd, Downsville, LA 71234-5439 | 2012-04-16 |
| 1366640666 | Kathlyn P Bell | Nurse Practitioner | 180 West Esplanade Ave, Kenner, LA 70065 | 2007-07-07 |
| 1134146921 | Sharon Wooten Sommerville | Nurse Practitioner | 1214 Quincy Dr, Bossier City, LA 71111-8197 | 2006-07-16 |
| 1194346916 | Lavonna Parham | Nurse Practitioner | 2700 Napoleon Ave, New Orleans, LA 70115-6914 | 2020-05-04 |
| 1093349235 | Amanda Madden | Nurse Practitioner | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-02-26 |
| 1457991671 | Courtney Price Mansour | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2020-01-15 |
| 1396382560 | Wilbur Eric Sharp | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-12-05 |
| 1891257515 | Ainsley L Manning | Nurse Practitioner | 309 Jackson St, Monroe, LA 71201-7407 | 2019-04-02 |
| 1558869925 | Shelley Maureen Clapp | Nurse Practitioner | 1401 Foucher St, Nicu, New Orleans, LA 70115 | 2018-01-31 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
Please comment or provide details below to improve the information on CHARLOTTE RADDE.
| 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.