EVAN DAUTERIVE


Address: 602 N Acadia Rd, Thibodaux, LA 70301-4823
Phone: 9854484837

EVAN DAUTERIVE (NPI# 1134589443) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134589443
Entity Type Individual
Full Name EVAN DAUTERIVE
Credential ATC
Practice Address 602 N Acadia Rd
Thibodaux
LA 70301-4823
Practice Telephone 9854484837
Enumeration Date 2016-02-29
Last Update Date 2016-02-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
ATH.200454 LA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 602 N ACADIA RD
City THIBODAUX
State LA
Zip Code 70301-4823

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750836938 Paige E Morvant Specialist/Technologist 101 Ellington Dr, Thibodaux, LA 70301-8046 2016-08-17
1043672439 Annalise Himmel Specialist/Technologist 602 N Acadia Dr, Thibodaux, LA 70302 2016-03-24
1932266954 Jon M Hay Specialist/Technologist 2090 Nicholls State Unive, Athletic Training Science, Thibodaux, LA 70310-0001 2007-01-02
1780612234 Gerard Anthony White Specialist/Technologist Nicholls State University, 906 East First Street, Thibodaux, LA 70310-0001 2006-06-30
1851918247 Shane M Chiasson Specialist/Technologist 726 N Acadia Rd, Thibodaux, LA 70301-5051 2020-07-01
1700374220 Braden Patrick Jarrard Specialist/Technologist 906 E 1st St, Thibodaux, LA 70301-6701 2018-04-30
1629577655 Travis James Rousselle Specialist/Technologist 906 E 1st St, Thibodaux, LA 70301-6701 2018-02-05
1154859171 Maureen Brooks Specialist/Technologist 906 E 1st St, Thibodaux, LA 70301-6701 2017-06-03
1578096129 Ryan Adams Specialist/Technologist 312 Hermitage Dr, Thibodaux, LA 70301-2917 2017-04-10
1821532888 Cheyenne Naquin Specialist/Technologist 906 E 1st St, Thibodaux, LA 70301-6701 2016-12-11
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Competitor

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City THIBODAUX
Zip Code 70301

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Dataset Information

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.

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