MRS. LETARSHA ROULETTE CAMPBELL (NPI# 1205124310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205124310 |
| Entity Type | Individual |
| Full Name | MRS. LETARSHA ROULETTE CAMPBELL |
| Credential | FNP |
| Practice Address |
1402 S Magnolia St Suite A Hammond LA 70403-5020 |
| Mailing Address |
Po Box 130 Suite A Independence LA 70443-0130 |
| Practice Telephone | 9852474567 |
| Practice Fax Number | 9852697091 |
| Mailing Telephone | 9856262030 |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2016-08-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APO6289 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2162748 | 05 |
| Street Address |
1402 S MAGNOLIA ST SUITE A |
| City | HAMMOND |
| State | LA |
| Zip Code | 70403-5020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942706411 | Delasta Jamir May | Behavioral Analyst | 1402 S Magnolia St, Hammond, LA 70403-5020 | 2018-04-03 |
| 1558894121 | Concierge Massage Therapy, LLC | Massage Therapist | 1402 S Magnolia St, D, Hammond, LA 70403-5020 | 2017-04-10 |
| 1881127660 | William Earl Passman Jr. | Massage Therapist | 1402 S Magnolia St, Suite D, Hammond, LA 70403-5020 | 2017-04-07 |
| 1902295017 | Shandra Tre'nise Thomas | Nurse Practitioner | 1402 S Magnolia St, Suite A, Hammond, LA 70403-5020 | 2015-01-13 |
| 1588088587 | Akrivis Laboratories LLC | Clinical Medical Laboratory | 1402 S Magnolia St, Unit H, Hammond, LA 70403-5020 | 2014-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
| 1942830757 | Trinity Wellness Counseling LLC. | Social Worker | 43171 Tillman Dr, Hammond, LA 70403 | 2020-01-21 |
| 1407419138 | Cypress Pointe Urgent Care, LLC | Clinic/Center | 19065 Dr. John Lambert Drive, Hammond, LA 70403 | 2019-04-18 |
| 1700341724 | Taylor Kioria Johnson | Specialist/Technologist | 40151 Macedonia Rd, Hammond, LA 70403 | 2019-02-04 |
| 1912478264 | Julean Marie Walters | Behavioral Analyst | 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 | 2018-12-16 |
| 1659849263 | Andie Street | Speech-Language Pathologist | 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 | 2018-11-13 |
| 1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
| 1225529175 | Heart To Heart Counseling & Counseling | Social Worker | 30430 Dawson Ln, Hammond, LA 70403 | 2018-05-27 |
| 1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
| 1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
| Find all providers in zip 70403 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578189544 | Tiffany Burrowes | Nurse Practitioner | 41137 James Robert Dr, Hammond, LA 70403-7520 | 2020-06-24 |
| 1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
| 1265078166 | Michelle Antoinette Wilson | Nurse Practitioner | 45001 Tanglewood Dr, Hammond, LA 70401-4442 | 2019-11-26 |
| 1508327735 | Naina Chhokar | Nurse Practitioner | 6933 Kennedy Ave Ste C, Hammond, IN 46323-2210 | 2019-03-29 |
| 1225501356 | Miyako S Streeter | Nurse Practitioner | 31 Sibley St Ste A, Hammond, IN 46320 | 2019-01-11 |
| 1881143469 | Taryn Petty | Nurse Practitioner | 31 Sibley St, Hammond, IN 46320 | 2016-09-23 |
| 1154797132 | Sharon Hughes | Nurse Practitioner | 2511 Hwy. 190 E, Hammond, LA 70401 | 2015-08-13 |
| 1407128598 | Family Health Care and Wellness Center | Nurse Practitioner | 2511 Highway 190 E, Hammond, LA 70401-8510 | 2012-02-03 |
| 1881992568 | Pauline E Burrall | Nurse Practitioner | 15770 Paul Vega Md Dr Ste 104, Hammond, LA 70403-1475 | 2011-03-04 |
| 1396050324 | Barbara Lumbarkoski | Nurse Practitioner | 777 Casino Center Dr, Hammond, IN 46320-1003 | 2010-08-14 |
| Find all providers in HAMMOND | ||||
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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.