SARAH MORALES VITENAS (NPI# 1235517756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235517756 |
| Entity Type | Individual |
| Full Name | SARAH MORALES VITENAS |
| Credential | CPNP |
| Practice Address |
9775 Florida Blvd Suite F Walker LA 70785-7801 |
| Mailing Address |
9775 Highway 190 Suite F Walker LA 70785 |
| Practice Telephone | 2252437716 |
| Practice Fax Number | 2252437754 |
| Mailing Telephone | 2252437716 |
| Mailing Fax Number | 2252437754 |
| Enumeration Date | 2015-05-16 |
| Last Update Date | 2016-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
RN134320 | LA | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP08222 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2395122 | 05 |
| Street Address |
9775 FLORIDA BLVD SUITE F |
| City | WALKER |
| State | LA |
| Zip Code | 70785-7801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407387624 | Children's International, LLC | Clinic/Center | 9775 Florida Blvd, Ste F, Walker, LA 70785-7801 | 2017-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538680228 | Megan Price Berthelot | Pharmacist | 29881 Walker South Rd., Walker, LA 70785 | 2017-07-03 |
| 1275994956 | Shelby Reeder | Counselor | 31947 Little Flock Circle, Walker, LA 70785 | 2016-03-09 |
| 1326440561 | Ashley Dominique Williams | Pharmacist | 29881 Walker Rd, Walker, LA 70785 | 2014-09-18 |
| 1881094803 | Dennis Cutrer | Pharmacist | 28720 Walker South Rd, Walker, LA 70785 | 2014-08-27 |
| 1497011548 | April Taylor Sanchez | Dermatology | 29799 Walker Rd S, Walker, LA 70785 | 2012-04-03 |
| 1457622219 | Village Pharmacy | Pharmacy | 29811 Walker South Rd., Walker, LA 70785 | 2012-01-25 |
| 1760765572 | Donny Luke Bourgeois | Pharmacist | 29881 Walker South Road, Walker, LA 70785 | 2011-09-28 |
| 1689962821 | Village Pharmacy 2 | Home Health | 29811 Walker South Rd, Walker, LA 70785 | 2011-07-20 |
| 1316237928 | Village Pharmacy At Walker | Pharmacy | 29811 Walker South Road, Walker, LA 70785 | 2011-04-15 |
| 1174783344 | Laura Lynne Drake | Pediatrics | 9775 Highway 190, Suite F, Walker, LA 70785 | 2008-06-11 |
| Find all providers in zip 70785 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138473 | Nickolas Matthews | Nurse Practitioner | 1307 Crowley Rayne Hwy Ste B, Crowley, LA 70526-8210 | 2020-09-14 |
| 1841809258 | Brandi Schwab | Nurse Practitioner | 157 Belington Ave, Madisonville, LA 70447-9109 | 2020-07-31 |
| 1780293878 | Cornerstone Childrens Clinic LLC | Nurse Practitioner | 44546 S Airport Rd Ste F, Hammond, LA 70403-0312 | 2020-07-24 |
| 1629691530 | Bayou Pediatrics | Nurse Practitioner | 2649 Arkansas Rd, West Monroe, LA 71291-8617 | 2020-05-27 |
| 1295376374 | Tatjana Michele Mimes | Nurse Practitioner | 3975 I 49 S Service Rd Ste 201, Opelousas, LA 70570-0775 | 2019-09-30 |
| 1063067411 | Arwa Mohammed Mohammed | Nurse Practitioner | 101 Medical Park Blvd Ste A, Pineville, LA 71360-8426 | 2019-08-02 |
| 1477118065 | Erin L Hurt | Nurse Practitioner | 59101 Amber St, Slidell, LA 70461-3708 | 2019-05-08 |
| 1033679501 | Laura Elizabeth Williamson | Nurse Practitioner | 501 Medical Center Dr Ste 100, Alexandria, LA 71301-8124 | 2019-03-21 |
| 1043703010 | Samantha Lee Lovecchio | Nurse Practitioner | 120 Ochsner Blvd Ste 245, Gretna, LA 70056-5280 | 2018-06-13 |
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| 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.