STERICE WHITAKER


Address: 3625 Youree Dr, Shreveport, LA 71105-2121
Phone: 3187791158

STERICE WHITAKER (NPI# 1265947857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1265947857
Entity Type Individual
Full Name STERICE WHITAKER
Practice Address 3625 Youree Dr
Shreveport
LA 71105-2121
Mailing Address 8326 Kelwood Ave
Baton Rouge
LA 70806-4803
Practice Telephone 3187791158
Mailing Telephone 3187791158
Enumeration Date 2017-12-05
Last Update Date 2020-06-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 3625 YOUREE DR
City SHREVEPORT
State LA
Zip Code 71105-2121

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417320011 Jasmine Wesley Counselor 3625 Youree Dr, Shreveport, LA 71105-2121 2015-11-04
1578198669 Deshaylia Plater Peer Specialist 3625 Youree Dr, Shreveport, LA 71105-2121 2020-03-09
1093353179 Tameka Dupree Peer Specialist 3625 Youree Dr, Shreveport, LA 71105-2121 2019-12-19
1801434972 Maxwell Robinson Peer Specialist 3625 Youree Dr, Shreveport, LA 71105-2121 2019-12-19
1477191690 Barbara Palmer Peer Specialist 3625 Youree Dr, Shreveport, LA 71105-2121 2019-12-18
1639717853 Andrea Bloodworth Peer Specialist 3625 Youree Dr, Shreveport, LA 71105-2121 2019-12-18
1194289991 Carrie Stone Case Manager/Care Coordinator 3625 Youree Dr, Shreveport, LA 71105-2121 2019-01-25
1154895761 Alescia Riggs Case Manager/Care Coordinator 3625 Youree Dr, Shreveport, LA 71105-2121 2019-01-16
1487122834 Ennocent Ekara Case Manager/Care Coordinator 3625 Youree Dr, Shreveport, LA 71105-2121 2018-11-04
1649763814 Ashley M Gragg Social Worker 3625 Youree Dr, Shreveport, LA 71105 2018-06-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699245928 Misty Johnetta Ross Counselor 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 2018-11-29
1205301868 Tatjhana Maury Case Manager/Care Coordinator 3325 Youree Drive, Shreveport, LA 71105 2018-10-10
1245710920 Jefferey Douglas Adair Md Non-Pharmacy Dispensing Site 8860 Fern Ave., Suite 120, Shreveport, LA 71105 2018-08-21
1679059539 Michael E Woolbert Dds LLC Dentist 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 2018-07-13
1881195675 Adiba Bibi Pharmacist 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 2018-02-27
1740796655 Allison Borel Counselor 2020 E 70th St Ste 201, Shreveport, LA 71105 2017-12-15
1073028148 Valerie Wooten Barcelona Physical Therapist 130 Kayla Street, Shreveport, LA 71105 2017-12-11
1710497615 Jimmy Carroll Counselor 2960 Knight St, Suite 110, Shreveport, LA 71105 2017-10-05
1932618444 David Louis Bennett Counselor 3007 Knight St., Suite 200, Shreveport, LA 71105 2017-09-27
1619496452 Shaqwana Hodge Counselor 2920 Knight St. Suite 110, Shreveport, LA 71105 2017-09-13
Find all providers in zip 71105

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578198669 Deshaylia Plater Peer Specialist 3625 Youree Dr, Shreveport, LA 71105-2121 2020-03-09
1093353179 Tameka Dupree Peer Specialist 3625 Youree Dr, Shreveport, LA 71105-2121 2019-12-19
1801434972 Maxwell Robinson Peer Specialist 3625 Youree Dr, Shreveport, LA 71105-2121 2019-12-19
1477191690 Barbara Palmer Peer Specialist 3625 Youree Dr, Shreveport, LA 71105-2121 2019-12-18
1639717853 Andrea Bloodworth Peer Specialist 3625 Youree Dr, Shreveport, LA 71105-2121 2019-12-18
1396238994 Sharon Denise Lewis Peer Specialist 3625 Youree Dr, Shreveport, LA 71105-2121 2018-06-08
1477053023 Annetta Williams Peer Specialist 3625 Youree Dr, Shreveport, LA 71105-2121 2018-02-20
1821503376 Natalie Morris Peer Specialist 3625 Youree Dr, Shreveport, LA 71105-2121 2017-12-06
1669911889 David Cato Peer Specialist 3625 Youree Dr, Shreveport, LA 71105-2121 2017-02-21
1225580970 Kate Harris Peer Specialist 3341 Youree Dr, Shreveport, LA 71105-2149 2016-10-28
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71105

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Dataset Information

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.

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