ACUTE CARE CLINIC (NPI# 1144495334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144495334 |
Entity Type | Organization |
Organization Name | ACUTE CARE CLINIC |
Other Organization Name | FAMILY DOCTORS OF LOUISIANA |
Practice Address |
205 Hermitage Dr Thibodaux LA 70301-2914 |
Mailing Address |
1208 Canal Blvd Thibodaux LA 70301-4511 |
Practice Telephone | 9854480827 |
Practice Fax Number | 9854480822 |
Mailing Telephone | 9854480827 |
Mailing Fax Number | 9854480822 |
Enumeration Date | 2008-04-28 |
Last Update Date | 2008-04-28 |
Authorized Official Name | MRS. AYANNA A ALVEREZ (DIRECTOR) |
Authorized Official Telephone | 5043826011 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
MD06503R | LA | Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
Family Doctors of Louisiana | Doing Business As Name - Organization |
Street Address |
205 HERMITAGE DR |
City | THIBODAUX |
State | LA |
Zip Code | 70301-2914 |
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 | 363LC1500X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093049173 | Lisa Pena Miller | Nurse Practitioner | 4811 Ambassador Caffery, Suite 401b, Lafayette, LA 70508 | 2009-09-23 |
1710440466 | Amanda Brocato | Nurse Practitioner | 1029 Capitol Ave, Crowley, LA 70526-3227 | 2019-04-10 |
1790130664 | Tiffini Lundy | Nurse Practitioner | 11990 Jackson St, Clinton, LA 70722-3210 | 2016-04-28 |
1467781757 | Latasha L Johnigan | Nurse Practitioner | 6450 Louisiana Highway 1, Suite B, Innis, LA 70747-0889 | 2009-12-15 |
1699827600 | Celeste Tolar Mcknight | Nurse Practitioner | 118 Jjj Ln, Simmesport, LA 71369-2180 | 2007-01-18 |
1093797169 | John Joseph Kight | Nurse Practitioner | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2005-11-15 |
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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.