SALLIE EARLY HEALTHCARE SERVICES (NPI# 1205005097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205005097 |
| Entity Type | Organization |
| Organization Name | SALLIE EARLY HEALTHCARE SERVICES |
| Practice Address |
1802 Neva Ct Mandeville LA 70448-1026 |
| Practice Telephone | 8655881584 |
| Mailing Telephone | 8655881584 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |
| Authorized Official Name | SALLIE EARLY TUCKER (OWNER) |
| Authorized Official Telephone | 8655581584 |
| Authorized Official Credential | APN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 164W00000X | Licensed Practical Nurse | APN0000007667 | TN | Nursing Service Providers |
| Y | 207Q00000X | Family Medicine | APN0000007667 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3714700 | 05 |
| Street Address |
1802 NEVA CT |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70448-1026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962035964 | Tyler Trenton Wansley | Nurse Practitioner | 23515 Us-190, Mandeville, LA 70448 | 2020-02-18 |
| 1346712957 | Start Corporation | Clinic/Center | 23251 South Robin Road, Mandeville, LA 70448 | 2018-12-20 |
| 1952870362 | Oh Project-lafayette | Community/Behavioral Health | 23515 Us 190, Northlake Academy Building, Mandeville, LA 70448 | 2018-11-14 |
| 1083113187 | Amanda Stokes Barker | Occupational Therapist | 1903 University Dr, Mandeville, LA 70448 | 2018-02-05 |
| 1629594544 | Ochsner Clinic LLC | Internal Medicine | 3235 E Causeway Approach, Mandeville, LA 70448 | 2017-08-22 |
| 1831628288 | Katherine Lea Gristina | Speech-Language Pathologist | 307 Copal Street, Mandeville, LA 70448 | 2017-06-08 |
| 1154779551 | Jonathan Ferguson | Specialist/Technologist | 26301 La-1088, Mandeville, LA 70448 | 2016-05-26 |
| 1568821874 | Raymond Wallace IIi | Licensed Vocational Nurse | 23861 South Robin Rd, Mandeville, LA 70448 | 2016-02-15 |
| 1548629140 | Martha Miller | Clinical Nurse Specialist | 400 Mariner's Blvd, Mandeville, LA 70448 | 2016-02-11 |
| 1023483435 | Tina Marie Catalano | Licensed Practical Nurse | 23861 South Robin Road, Mandeville, LA 70448 | 2015-12-10 |
| Find all providers in zip 70448 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710205034 | Shannon Haas | Family Medicine | 201 Saint Ann Dr Ste B, Mandeville, LA 70471-3472 | 2010-05-11 |
| 1295050599 | Northshore Red-med, LLC | Family Medicine | 4430 Hwy 22, Mandeville, LA 70471 | 2010-03-30 |
| 1053571158 | Candice Leduff Knight | Family Medicine | 2190 N Causeway Blvd, Suite 150, Mandeville, LA 70471-1807 | 2008-06-11 |
| 1912106758 | Roy L. Gregory | Family Medicine | 2640 Monroe St, Mandeville, LA 70448-5645 | 2007-07-12 |
| 1487686275 | Mohammed Yousuf | Family Medicine | 4430 Highway 22, Mandeville, LA 70471-3310 | 2006-07-06 |
| 1578510988 | Nathalie Mascherpa-kerkow | Family Medicine | 201 St. Ann Drive, Suite B, Mandeville, LA 70471 | 2006-05-30 |
| 1275581092 | Robert P Guilbault IIi | Family Medicine | 521 Asbury Drive, Mandeville, LA 70471 | 2006-05-04 |
| 1619975836 | Richelle Denese Schiro | Family Medicine | 2810 E. Causeway Approach, Mandeville, LA 70448-3502 | 2005-07-12 |
| 1952941767 | Baptist Community Health Services, Inc. | Family Medicine | 1445 W Causeway Approach, Mandeville, LA 70471-3045 | 2020-01-09 |
| 1306378252 | Gabrielle Givens | Family Medicine | 201 Saint Ann Dr Ste B, Mandeville, LA 70471-3472 | 2017-03-30 |
| Find all providers in MANDEVILLE | ||||
| City | MANDEVILLE |
| Zip Code | 70448 |
Please comment or provide details below to improve the information on SALLIE EARLY HEALTHCARE SERVICES.
| 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.