EDWINA ELROD ELEY (NPI# 1144690645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144690645 |
Entity Type | Individual |
Full Name | EDWINA ELROD ELEY |
Credential | FNP |
Practice Address |
7356 Highway 509 Mansfield LA 71052 |
Mailing Address |
104 Verona St Newellton LA 71357-3502 |
Practice Telephone | 3188711633 |
Practice Fax Number | 3188711677 |
Mailing Telephone | 3188711633 |
Mailing Fax Number | 3188711677 |
Enumeration Date | 2015-09-28 |
Last Update Date | 2018-09-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP08431 | LA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
13629971 | CAQH | 01 | |
LA | 2407058 | 05 |
Street Address |
7356 HIGHWAY 509 |
City | MANSFIELD |
State | LA |
Zip Code | 71052 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689186421 | Bridgette Williams | Counselor | 419 Washington Street, Mansfield, LA 71052 | 2017-11-02 |
1922527217 | Cherlyndria Wyatt | Counselor | 108 Hope St, Mansfield, LA 71052 | 2017-09-18 |
1619342433 | Stanley Cunningham | Counselor | 125 Canary Lane, Mansfield, LA 71052 | 2015-12-04 |
1578936480 | Comiseia Jones | Counselor | 2102 N Park Ave, Mansfield, LA 71052 | 2015-11-02 |
1932571023 | Elichia Bennett | Counselor | 584 Antioch Rd, Mansfield, LA 71052 | 2015-10-28 |
1912378597 | Angela Mcintyre | Case Manager/Care Coordinator | 162 Division St, Mansfield, LA 71052 | 2015-10-08 |
1760746176 | Amy Melton Robbins | Occupational Therapist | 558 Turner Robbins Rd, Mansfield, LA 71052 | 2012-06-29 |
1811209232 | Desoto Healthcare Center Inc. | Internal Medicine | 938 Louise St, Mansfield, LA 71052 | 2010-07-14 |
1174786263 | Frances Jackson | Speech-Language Pathologist | 508 Rea Street, Mansfield, LA 71052 | 2008-07-08 |
1255521183 | Superior Hospice of Northwest Louisiana, LLC | Hospice Care, Community Based | 511 Jenkins St., Suite B, Mansfield, LA 71052 | 2007-07-26 |
Find all providers in zip 71052 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
1457965386 | Brittany A Wheitner | Nurse Practitioner | 1367 Bonnie Dr, Mansfield, OH 44905-3036 | 2020-09-08 |
1043828304 | Lester E Cox Medical Centers | Nurse Practitioner | 414 W Ohio St, Mansfield, MO 65704-9300 | 2020-07-22 |
1295352565 | Jessica Dawn Ungerer | Nurse Practitioner | 1020 S Trimble Rd, Mansfield, OH 44906-3428 | 2020-07-02 |
1598381949 | Rebecca Sagebiel Kendrick | Nurse Practitioner | 322 Carlin Rd, Mansfield, TX 76063-3456 | 2020-06-22 |
1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
1538709084 | Monica Leigh Phillips | Nurse Practitioner | 252 Matlock Rd Ste 130, Mansfield, TX 76063-4295 | 2020-01-13 |
1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
1154969830 | Patience Dorcas Armstrong | Nurse Practitioner | 1410 Genesis Dr, Mansfield, TX 76063-8654 | 2019-12-13 |
1902468218 | Doris Nwamaka Ejimadu | Nurse Practitioner | 305 Regency Pkwy Ste 509, Mansfield, TX 76063-3795 | 2019-07-08 |
Find all providers in MANSFIELD |
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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.