NICHOLAS JOHN DIASSELLISS (NPI# 1205446895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205446895 |
| Entity Type | Individual |
| Full Name | NICHOLAS JOHN DIASSELLISS |
| Practice Address |
206 Nursery Ave Metairie LA 70005-3606 |
| Practice Telephone | 5044422123 |
| Mailing Telephone | 5044422123 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | LA | Student, Health Care |
| Street Address |
206 NURSERY AVE |
| City | METAIRIE |
| State | LA |
| Zip Code | 70005-3606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548793581 | Amber Alia Trepagnier | Counselor | 701 Papworth Ave Ste 209, Metairie, LA 70005 | 2017-04-06 |
| 1912386640 | Nola, Pride-wfh LLC | Community/Behavioral Health | 700 Phosphor Ave, Suite C, Metairie, LA 70005 | 2015-05-27 |
| 1952731705 | Doctors Dental 06, LLC | Clinic/Center | 730 Veterans Blvd Suite B, Metairie, LA 70005 | 2013-11-14 |
| 1740613827 | Lawrence Garvey Bole | Internal Medicine | 400 Rue St Ann, Unit 214, Metairie, LA 70005 | 2013-08-13 |
| 1295172880 | Shirer Counseling Services | Counselor | 707 Papworth Ave., Ste. 202, Metairie, LA 70005 | 2013-05-23 |
| 1841573599 | Linda Keys | Pharmacist | 1107 Veterans Blvd, Metairie, LA 70005 | 2011-09-20 |
| 1780987909 | Kenneth Mcleod Jr. | Internal Medicine | 351 Elmeer Ave, Metairie, LA 70005 | 2010-12-09 |
| 1972804615 | Courtney Theriot Scala | Counselor | 1312 Aris Ave, Metairie, LA 70005 | 2010-11-11 |
| 1528378031 | Robert Fleming Azar | Ophthalmology | 400 Old Hammond Hwy, Suite 6-a, Metairie, LA 70005 | 2010-10-18 |
| 1881909042 | Fidelity Behavioral Health Services, LLC | Community/Behavioral Health | 700 Papworth Ave, Metairie, LA 70005 | 2010-08-12 |
| Find all providers in zip 70005 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366054470 | Monica Lynn Wink | Student in an Organized Health Care Education/Training Program | 3517 Tolmas Dr, Metairie, LA 70002-3819 | 2020-08-19 |
| 1134730658 | Kelly Gaye Lienhop | Student in an Organized Health Care Education/Training Program | 429 Greenmount Dr, Metairie, LA 70005-3649 | 2020-08-10 |
| 1568072056 | Trevor Raney | Student in an Organized Health Care Education/Training Program | 513 Faye Ave, Metairie, LA 70003-4823 | 2020-08-09 |
| 1366052821 | Chasity Willmouth | Student in an Organized Health Care Education/Training Program | 1609 Manson Ave, Metairie, LA 70001-3680 | 2020-08-08 |
| 1336759968 | Andrew Skeans | Student in an Organized Health Care Education/Training Program | 1713 Ridgelake Dr, Metairie, LA 70001-2958 | 2020-08-07 |
| 1619587318 | Rachel Dawn Dugas | Student in an Organized Health Care Education/Training Program | 2700 Whitney Pl Apt 734, Metairie, LA 70002-6243 | 2020-08-06 |
| 1043838501 | Marine Isakadze | Student in an Organized Health Care Education/Training Program | 2308 Houma Blvd Apt 701, Metairie, LA 70001-6523 | 2020-07-10 |
| 1578186193 | Robert J Burns IIi | Student in an Organized Health Care Education/Training Program | 2514 Fagot Ave, Metairie, LA 70001-4217 | 2020-05-19 |
| 1669094215 | Kyle Finney | Student in an Organized Health Care Education/Training Program | 4012 Tolmas Dr, Metairie, LA 70002-1851 | 2020-05-16 |
| 1205455631 | Andrew Thomas Melcher | Student in an Organized Health Care Education/Training Program | 4909 Dreyfous Ave, Metairie, LA 70006-1222 | 2020-04-15 |
| Find all providers in METAIRIE | ||||
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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.