DANA SUMBLER (NPI# 1114472875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114472875 |
| Entity Type | Individual |
| Full Name | DANA SUMBLER |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1625 David Raines Rd Shreveport LA 71107-2712 |
| Mailing Address |
3041 Dr. Martin Luther King Dr Shreveport LA 71107-5899 |
| Practice Telephone | 3184252252 |
| Mailing Telephone | 3182273350 |
| Mailing Fax Number | 3182222979 |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2017-04-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP09007 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1625 DAVID RAINES RD |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71107-2712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558386847 | David Joseph Bellew | Dentist | 1625 David Raines Rd, Shreveport, LA 71107-5899 | 2006-07-13 |
| 1558918722 | Bisi Joseph Ekundayo | Dentist | 1625 David Raines Rd, Shreveport, LA 71107-5899 | 2019-08-22 |
| 1144705930 | David Raines Community Health Center Inc | Clinic/Center | 1625 David Raines Rd, Shreveport, LA 71107-5899 | 2018-09-27 |
| 1871019406 | Shamika Nicole Calhoun | Nurse Practitioner | 1625 David Raines Rd, Shreveport, LA 71107-5899 | 2017-08-15 |
| 1245531987 | Alexandra K Drake | Nurse Practitioner | 1625 David Raines Rd, Shreveport, LA 71107-5899 | 2010-11-11 |
| 1508178559 | Benjamin Joseph Bumgardner | Dentist | 1625 David Raines Rd, Shreveport, LA 71107-5899 | 2010-07-07 |
| 1245560879 | Magdalyn A Thomas | Dentist | 1625 David Raines Rd, Shreveport, LA 71107-5899 | 2010-01-04 |
| 1821228909 | Pratibha Anne | Family Medicine | 1625 David Raines Rd, Shreveport, LA 71107-5899 | 2009-07-22 |
| 1487880407 | Sadaf Javaid | Psychiatry & Neurology | 1625 David Raines Rd, Shreveport, LA 71107-5899 | 2009-06-04 |
| 1932369535 | David Raines Community Health Center | Clinic/Center | 1625 David Raines Rd, Shreveport, LA 71107-5899 | 2008-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490875 | Kimber Leigh Lumley | Registered Nurse | 1440 Hawn Ave., Shreveport, LA 71107 | 2019-08-01 |
| 1871063461 | Nicole Capito | Case Manager/Care Coordinator | 200 North Thomas Drive Ste 1, Shreveport, LA 71107 | 2018-11-27 |
| 1891260899 | Danielle Leigh Dreher | Dental Assistant | 3610 Gorman Rd, Shreveport, LA 71107 | 2018-10-05 |
| 1255817540 | Shirley Marie Washington | Technician | 3227 Old Mooringsport Rd., Shreveport Rd, LA 71107 | 2018-07-19 |
| 1366928467 | Katrina L Bailey | Case Manager/Care Coordinator | 1111 Hawn Ave Apt A, Shreveport, LA 71107 | 2018-07-12 |
| 1063907970 | James Mcneely IIi | Public Health or Welfare | 5922 Alaska Ln, Shreveport, LA 71107 | 2018-06-25 |
| 1528560067 | Jacarie Guice | Case Manager/Care Coordinator | 4601 N. Market Ste 2, Shreveport, LA 71107 | 2018-03-01 |
| 1467971069 | Tracy Renard Harris | Counselor | 1149 Englemeade Dr, Shreveport, LA 71107 | 2017-09-14 |
| 1427588045 | Mark Rogers | Behavior Technician | 1500 N. Market Unit C Suite 105, Shreveport, LA 71107 | 2017-06-15 |
| 1356871164 | Hope4youth | Voluntary or Charitable | 2850 King Oaks Loop, Shreveport, LA 71107 | 2017-06-14 |
| Find all providers in zip 71107 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508282 | Whitney Jackson | Nurse Practitioner | 1549 E 70th St Ste 300, Shreveport, LA 71105-5056 | 2019-10-03 |
| 1407322209 | Tiffany Michelle Williams | Nurse Practitioner | 7551 Youree Dr, Shreveport, LA 71105-5533 | 2018-10-18 |
| 1801334453 | Katoya Johnson | Nurse Practitioner | 1005 Quail Creek Rd Apt A, Shreveport, LA 71105-2310 | 2017-02-03 |
| 1023565298 | Primary Care At Home of Louisiana, LLC | Nurse Practitioner | 6425 Youree Dr Ste 290, One Bellemead Center, Shreveport, LA 71105-4634 | 2016-09-06 |
| 1457546095 | Julia B Henry | Nurse Practitioner | 2751 Albert L Bicknell Dr Ste 2d, Shreveport, LA 71103-3939 | 2007-09-06 |
| 1588867485 | Donna Rogers Hewitt | Nurse Practitioner | 1800 E 70th St, Shreveport, LA 71105-5338 | 2007-06-07 |
| 1134215361 | Angela Birdsong Fellows | Nurse Practitioner | 1666 E Bert Koun Loop, Shreveport, LA 71105-5714 | 2006-10-05 |
| 1942220959 | Tammy Rene Bennett | Nurse Practitioner | 1525 Fairfield Ave Ste 569, Office of Public Health, Shreveport, LA 71101-4331 | 2006-07-20 |
| 1134149859 | John Charles Charity | Nurse Practitioner | 503 Broadmoor Blvd, Shreveport, LA 71105-2023 | 2006-07-19 |
| 1144829540 | Jenna Nicole Blundell | Nurse Practitioner | 1811 E Bert Kouns Industrial Loop Ste 210, Shreveport, LA 71105-5740 | 2020-10-19 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71107 |
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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.