MALAIKA LOUDEN (NPI# 1255852547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255852547 |
| Entity Type | Individual |
| Full Name | MALAIKA LOUDEN |
| Credential | PA-C |
| Practice Address |
455 W Broadway Ave Jackson WY 83001-8639 |
| Mailing Address |
970 W. Broadway Ste. E #398 Jackson WY 83001 |
| Practice Telephone | 3077338002 |
| Mailing Telephone | 3074137757 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
455 W BROADWAY AVE |
| City | JACKSON |
| State | WY |
| Zip Code | 83001-8639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427585488 | Daniel Matthew Bender | Family Medicine | 455 W Broadway Ave, Jackson, WY 83001-8639 | 2017-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629206784 | Sarah Beth Poplawski | Physician Assistant | 205 N. East Avenue, Emergency Department, Jackson, MI 49201 | 2009-06-29 |
| 1225167356 | Marianne Elizabeth Lapointe | Physician Assistant | 815 Court St Ste 7, Jackson, CA 95642-2154 | 2007-03-05 |
| 1386780237 | Charles F Harris | Physician Assistant | 982 W. Broadway, Jackson, WY 83002 | 2007-01-29 |
| 1427109149 | Coreen Dian Garcia-sweets | Physician Assistant | 3235 E Michigan Ave Ste 100, Jackson, MI 49202-3971 | 2007-01-16 |
| 1861552556 | Marc A Fierro | Physician Assistant | 11333 Prospect Dr Ste 401, Jackson, CA 95642-9311 | 2006-12-11 |
| 1427146539 | James E Abernathy II | Physician Assistant | 294 Sumar Dr, Jackson, TN 38301 | 2006-10-11 |
| 1184633935 | Kelly Elizabeth Graver Pate | Physician Assistant | 9279 Locust St., Jackson, CA 95669 | 2006-08-07 |
| 1548241359 | Byron Michael Breeding | Physician Assistant | 144 Edenwood Dr, Jackson, TN 38301-3827 | 2005-11-09 |
| 1033735709 | Anna Marie Plumley | Physician Assistant | 1325 N West Ave, Jackson, MI 49202-2050 | 2020-06-18 |
| 1093347072 | Jessica Emil Ansara | Physician Assistant | 205 N East Ave, Jackson, MI 49201-1753 | 2020-02-07 |
| Find all providers in JACKSON | ||||
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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.