PELICAN PEDIATRICS, LLC (NPI# 1184053340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184053340 |
| Entity Type | Organization |
| Organization Name | PELICAN PEDIATRICS, LLC |
| Practice Address |
911 W Main St Suite C Homer LA 71040-3300 |
| Practice Telephone | 3189273255 |
| Practice Fax Number | 3189273257 |
| Mailing Telephone | 3189273255 |
| Mailing Fax Number | 3189273257 |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2014-10-01 |
| Authorized Official Name | MRS. LESLIE COUVILLON BRASHER (OWNER, MANAGER) |
| Authorized Official Telephone | 3189273255 |
| Authorized Official Credential | APRN, CPNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APO5536 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
2203781980 | LA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1325295 | 05 |
| Street Address |
911 W MAIN ST SUITE C |
| City | HOMER |
| State | LA |
| Zip Code | 71040-3300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841778586 | Therapeutic Wellness Solutions | Social Worker | 911 W Main St, Homer, LA 71040-3300 | 2018-08-03 |
| 1629231535 | Leslie C Brasher | Nurse Practitioner | 911 W Main St, Suite C, Homer, LA 71040-3300 | 2008-07-10 |
| 1871711028 | A and L of Northeast Inc | Day Training, Developmentally Disabled Services | 911 W Main St, C, Homer, LA 71040-3300 | 2007-04-23 |
| 1780802934 | A and L of Northeast Inc | Day Training, Developmentally Disabled Services | 911 W Main St, C, Homer, LA 71040-3300 | 2007-04-23 |
| 1073731220 | A and L of Northeast Inc | Day Training, Developmentally Disabled Services | 911 W Main St, C, Homer, LA 71040-3300 | 2007-04-23 |
| 1841418100 | A and L of Northeast Inc | Day Training, Developmentally Disabled Services | 911 W Main St, C, Homer, LA 71040-3300 | 2007-04-23 |
| 1982822136 | A and L of Northeast Inc | Day Training, Developmentally Disabled Services | 911 W Main St, C, Homer, LA 71040-3300 | 2007-04-23 |
| 1598981037 | A and L of Northeast Inc | Exclusive Provider Organization | 911 W Main St, C, Homer, LA 71040-3300 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609066646 | Homer Memorial Hospital | Nurse Anesthetist, Certified Registered | 620 East College St., Homer, LA 71040 | 2007-07-26 |
| 1881806164 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 598 Harmon Loop, Homer, LA 71040 | 2007-05-07 |
| 1104048214 | A and L of Northeast La Inc | Day Training, Developmentally Disabled Services | 911 West Main, Homer, LA 71040 | 2007-05-02 |
| 1356409619 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 3250 Hwy 79, Homer, LA 71040 | 2006-12-05 |
| 1851343529 | Claiborne Manor Nursing Home, LLC | Skilled Nursing Facility | 6942 Highway 79 North, Homer, LA 71040 | 2006-05-17 |
| 1679523807 | Larry Don Ezell | Emergency Medicine | 620 Ecollege Street, Homer, LA 71040 | 2006-05-10 |
| 1386856680 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 598 Harmon Loop, Homer, LA 71040 | 2007-05-07 |
| 1720290034 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 598 Harmon Loop, Homer, LA 71040 | 2007-05-07 |
| 1831137579 | Helen Denise Butler | Nurse Practitioner | 104 Morris Cir, Homer, LA 71040 | 2006-06-03 |
| 1245452234 | Melvin Harold Procell | Dentist | 5220 Highway 79, Homer, LA 71040-2002 | 2007-05-02 |
| Find all providers in zip 71040 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588696371 | Springhill Medical Services, Inc. | Clinic/Center | 104 Morris Circle, Homer, LA 71040-2109 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942155 | Clhg-ville Platte LLC | Clinic/Center | 804 E. Main Street, Ville Platte, LA 70586 | 2020-11-06 |
| 1568062446 | Lhcg Clxix, LLC | Clinic/Center | 821 N Union St, Opelousas, LA 70570-6313 | 2020-10-29 |
| 1760089791 | Blanchard Medical | Clinic/Center | 5948 N Market St, Shreveport, LA 71107-2017 | 2020-10-02 |
| 1922619238 | Pediatric Group of Acadiana, LLC | Clinic/Center | 818 W. Veterans Memorial, Kaplan, LA 70548 | 2020-08-11 |
| 1720606478 | Dr Lawanda Lamar Bellamy Md A Professional Medical Corporation | Clinic/Center | 1307 Crowley-rayne Hwy, Suite B, Crowley, LA 70526 | 2020-07-09 |
| 1669002002 | Franklin Parish Hospital Service Dist 1 | Clinic/Center | 7645 Gilbert Street, Gilbert, LA 71336 | 2020-01-24 |
| 1184260937 | Children's International, LLC | Clinic/Center | 5151 Plank Rd Ste 190, Baton Rouge, LA 70805-3501 | 2019-11-26 |
| 1003467440 | Clhg-acadian LLC | Clinic/Center | 151 Hill St Ste 102, Eunice, LA 70535-5845 | 2019-09-26 |
| 1164073524 | Tangi Wellness & Health | Clinic/Center | 906 C M Fagan Dr Ste B3, Hammond, LA 70403-6056 | 2019-09-26 |
| 1679126510 | Pediatric Group of Acadiana, LLC | Clinic/Center | 1307 Crowley Rayne Hwy Ste C, Crowley, LA 70526-8210 | 2019-07-19 |
| Find all providers with the same taxonomy | ||||
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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.