HOLLY DAQUANA (NPI# 1063458966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063458966 |
| Entity Type | Individual |
| Full Name | HOLLY DAQUANA |
| Credential | NP |
| Practice Address |
1990 Industrial Boulevard Houma LA 70363-7055 |
| Practice Telephone | 9858689300 |
| Practice Fax Number | 9858510053 |
| Mailing Telephone | 9858689300 |
| Mailing Fax Number | 9858510053 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2013-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP04301 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1169897 | 05 |
| Street Address |
1990 INDUSTRIAL BOULEVARD |
| City | HOUMA |
| State | LA |
| Zip Code | 70363-7055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548245814 | Scott F Diedrich | Physician Assistant | 1990 Industrial Boulevard, Houma, LA 70363-7055 | 2005-12-09 |
| 1629150925 | Cheri A Hemelt | Obstetrics & Gynecology | 1990 Industrial Boulevard, Houma, LA 70363-7055 | 2006-10-19 |
| 1346322641 | Claude Simon | Radiology | 1990 Industrial Boulevard, Houma, LA 70363-7055 | 2006-10-19 |
| 1780766089 | Brigitte H Demoss | Pathology | 1990 Industrial Boulevard, Houma, LA 70363-7055 | 2006-10-19 |
| 1093816381 | Therryll L Johnson | Family Medicine | 1990 Industrial Boulevard, Houma, LA 70363-7055 | 2006-09-26 |
| 1184721169 | Paul J Cummins | Physician Assistant | 1990 Industrial Boulevard, Houma, LA 70363-7055 | 2006-09-20 |
| 1992802987 | Christopher Powell | Physician Assistant | 1990 Industrial Boulevard, Houma, LA 70363-7055 | 2006-09-20 |
| 1285731455 | Michael Berthiaume | Physician Assistant | 1990 Industrial Boulevard, Houma, LA 70363-7055 | 2006-09-20 |
| 1750316931 | Abram D Tipton Iv | Ophthalmology | 1990 Industrial Boulevard, Houma, LA 70363-7055 | 2006-07-12 |
| 1972538155 | John M Falgout | Nurse Practitioner | 1990 Industrial Boulevard, Houma, LA 70363-7055 | 2006-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286991 | Nadish Ravindran | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd Internal Medicine Program, Chabert Medical Center, Houma, LA 70363 | 2020-05-08 |
| 1912527185 | Gurjit Singh Brar | Student in an Organized Health Care Education/Training Program | Chabert Medical Center 1978 Industrial Blvd, Internal Medicine Residency Program, Houma, LA 70363 | 2020-04-17 |
| 1912568718 | Blake P Pitre | Pharmacist | 13087 West Main St, Larose, LA 70363 | 2019-06-24 |
| 1528623212 | Navkiran Singh Jagdev | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd Chabert Medical Center, Internal Medicine Residency Program, Houma, LA 70363 | 2019-05-08 |
| 1376107367 | Sheahahn Vikash Soundranayagam | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program Chabert Medical, Center, 1978 Industrial Blvd, Hourna, LA 70363 | 2019-04-25 |
| 1962991034 | Naveen Silva | Student in an Organized Health Care Education/Training Program | 1976 Industrial Blvd, Internal Medicine Residency Program Chabert Medical Cen, Houma, LA 70363 | 2018-05-04 |
| 1841647526 | Ammad Asad Syed | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd., Internal Medicine Residency Program, Chabert Medical Ce, Houma, LA 70363 | 2016-05-23 |
| 1538514450 | Khizran Rizvi | Internal Medicine | 1978 Industrial Blvd. Chabert Medical Center, Internal Medicine Residency Program, Houma, LA 70363 | 2016-04-28 |
| 1649656836 | David Price | Pharmacist | 9303 East Parke Avenue, Houma, LA 70363 | 2015-08-11 |
| 1346638053 | Donna Marie Neville | Case Manager/Care Coordinator | 137 New Orleans Blvd, Houma, LA 70363 | 2015-01-05 |
| Find all providers in zip 70363 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174062277 | Michelle Pellegrin | Nurse Practitioner | 3015 Cordell Rd, Houma, LA 70363-7167 | 2017-02-22 |
| 1124335831 | Bridget Miller Price | Nurse Practitioner | 142 Evangeline Dr, Houma, LA 70360-8306 | 2010-09-02 |
| 1053542951 | Laina Leboeuf | Nurse Practitioner | 153 Aubrey Drive, Houma, LA 70360 | 2009-07-27 |
| 1376764902 | Kaya Eschete | Nurse Practitioner | 505 Dunn Street, Houma, LA 70360 | 2007-05-01 |
| 1942235486 | Matthew J Hebert | Nurse Practitioner | 569 Enterprise Dr, Houma, LA 70360-5401 | 2006-07-12 |
| 1992743892 | Stacey B Molinere | Nurse Practitioner | 189 Mozart Dr, Houma, LA 70363-7990 | 2006-06-03 |
| 1245837897 | Ashley St. Romain Landeche | Nurse Practitioner | 225 Dunn St, Houma, LA 70360-4440 | 2020-10-07 |
| 1902424005 | Ryan E Dozar | Nurse Practitioner | 855 Belanger St Ste 108, Houma, LA 70360-4401 | 2020-07-06 |
| 1174157085 | Bianca Steib Adams | Nurse Practitioner | 5922 W Main St, Houma, LA 70360-1715 | 2020-02-29 |
| 1356988646 | Tiffany Terpstra | Nurse Practitioner | 827 Bayou Gardens Blvd, Houma, LA 70364-1464 | 2019-12-05 |
| Find all providers in HOUMA | ||||
Please comment or provide details below to improve the information on HOLLY DAQUANA.
| 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.