DWAYNE ANDRAS (NPI# 1043324684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043324684 |
| Entity Type | Individual |
| Full Name | DWAYNE ANDRAS |
| Other Name | DWAYNE ANDRAS |
| Credential | NP |
| Practice Address |
602 N Acadia Rd Thibodaux LA 70301 |
| Mailing Address |
Po Box 5478 Thibodaux LA 70302-5478 |
| Practice Telephone | 9854934740 |
| Practice Fax Number | 9854492535 |
| Mailing Telephone | 9854934740 |
| Mailing Fax Number | 9854465033 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2018-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 76615-3364 | LA | Other Service Providers |
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP03364 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1569364 | 05 |
| Street Address |
602 N ACADIA RD |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467427336 | Thibodaux Regional Network Development Corporation | Radiology | 602 N Acadia Rd, Thibodaux, LA 70301-4847 | 2006-02-22 |
| 1346855715 | Lindsay A Dufresne | Physician Assistant | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2020-09-12 |
| 1598370991 | Jill L Bueche | Nurse Practitioner | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2020-09-11 |
| 1972118842 | Adele Elise Broussard | Physician Assistant | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2020-09-08 |
| 1336759737 | Nia Walker | Physician Assistant | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2020-07-31 |
| 1639705924 | Gage Duet | Student in an Organized Health Care Education/Training Program | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2020-03-18 |
| 1992352629 | Jamie Roy-daigle | Clinical Pharmacology | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2019-08-19 |
| 1356995096 | Kaley Marie Duplantis | Physician Assistant | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2019-07-31 |
| 1750933438 | Thibodaux Regional Health System Inc | Psychiatric Hospital | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2019-07-12 |
| 1740840909 | Thibodaux Regional Health System Inc | Psychiatric Hospital | 602 N Acadia Rd, Thibodaux, LA 70301-4823 | 2019-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| 1982112348 | Katie Leblanc | Massage Therapist | 1115 St. Mary Street, Thibodaux, LA 70301 | 2018-01-18 |
| 1154837391 | Texas Digestive Disease Consultants, Pllc | Internal Medicine | 764 North Acadia Road, Suite A, Thibodaux, LA 70301 | 2017-12-26 |
| 1235648239 | Speech and Feeding Therapy, LLC | Speech-Language Pathologist | 1000 Plantation Rd Ste 1a, Thibodaux, LA 70301 | 2017-09-22 |
| 1285150466 | Tara Payne | Counselor | 303 Hickory Street, Thibodaux, LA 70301 | 2017-08-18 |
| 1427583475 | Tyler Pettigrew | Counselor | 300 Plantation Rd., Apt #24, Thibodaux, LA 70301 | 2017-04-27 |
| 1750825758 | Jessica Barquet | Counselor | 110 Palm Villa Dr Apt 1, Thibodaux, LA 70301 | 2016-12-09 |
| 1013468230 | Shenee Haas Gros | Counselor | 504 Cherry St., Thibodaux, LA 70301 | 2016-10-24 |
| 1982155388 | Southern Ent Associates Inc | Audiologist | 604 North Acadia Road Suite 101, Thibodaux, LA 70301 | 2016-10-20 |
| 1215483888 | Lesheeca Norman, Lpc | Counselor | 306 Victoria Court, Thibodaux, LA 70301 | 2016-09-01 |
| Find all providers in zip 70301 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293355 | Sheronica V Simmons | Nurse Practitioner | 2751 Albert L Bicknell Dr Ste 3c, Shreveport, LA 71103-3943 | 2020-10-25 |
| 1699372169 | Alexis Christian | Nurse Practitioner | 4319 Carter St, Vidalia, LA 71373-3152 | 2020-10-07 |
| 1669087607 | Stella Yonga | Nurse Practitioner | 5913 Bocage Dr, Alexandria, LA 71303-2190 | 2020-09-15 |
| 1366056871 | Terry Lynn Jackson | Nurse Practitioner | 4922 General Ashley Dr, Bossier City, LA 71112-4764 | 2020-09-02 |
| 1285272641 | Elizabeth Grace Robinson | Nurse Practitioner | 5717 Lake Side Dr, Bossier City, LA 71111-5509 | 2019-12-17 |
| 1316410236 | Tanya Nicole Slayter | Nurse Practitioner | 1811 E Bert Koun Loop Ste 210, Shreveport, LA 71105-5740 | 2019-01-03 |
| 1114402013 | Hayley Mitchell | Nurse Practitioner | 200 W Esplanade Ave Ste 103, Kenner, LA 70065-2473 | 2018-09-27 |
| 1679061279 | Antonya Williams | Nurse Practitioner | 9419 Amity Way, Shreveport, LA 71118-3601 | 2018-04-29 |
| 1073013702 | Holly Holmes Leonhard | Nurse Practitioner | 648 Crestwood Dr, Covington, LA 70433 | 2018-02-19 |
| 1932649837 | Stephanie Johnson | Nurse Practitioner | 37082 Agnes Webb Ave, Prairieville, LA 70769-3397 | 2017-02-27 |
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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.