CHENOA MADERE HAKUN (NPI# 1285111930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285111930 |
| Entity Type | Individual |
| Full Name | CHENOA MADERE HAKUN |
| Credential | NP |
| Practice Address |
2727 Hearne Ave Ste 301 Shreveport LA 71103-3918 |
| Mailing Address |
2002 Ray Ave Bossier City LA 71112-4140 |
| Practice Telephone | 3186316400 |
| Mailing Telephone | 3184695042 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP10173 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2727 HEARNE AVE STE 301 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-3918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972714889 | Sai Konduru | Internal Medicine | 2727 Hearne Ave Ste 301, Shreveport, LA 71103-3918 | 2007-05-24 |
| 1356819312 | Joseph Robert Martin | Nurse Practitioner | 2727 Hearne Ave Ste 301, Shreveport, LA 71103 | 2018-11-07 |
| 1982181301 | Megan K Atkinson | Nurse Practitioner | 2727 Hearne Ave Ste 301, Shreveport, LA 71103-3918 | 2018-07-27 |
| 1194234047 | Steven Michael Galbraith | Nurse Practitioner | 2727 Hearne Ave Ste 301, Shreveport, LA 71103 | 2017-09-22 |
| 1770012478 | Richard Zachary Choate | Nurse Practitioner | 2727 Hearne Ave Ste 301, Shreveport, LA 71103-3918 | 2017-06-06 |
| 1649625807 | Elizabeth Mangum | Registered Nurse | 2727 Hearne Ave Ste 301, Shreveport, LA 71103 | 2016-04-25 |
| 1578827234 | Abdul Latif Bikak | Internal Medicine | 2727 Hearne Ave Ste 301, Shreveport, LA 71103 | 2012-06-27 |
| 1346503307 | Boshra F Louka | Internal Medicine | 2727 Hearne Ave Ste 301, Shreveport, LA 71103 | 2012-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293355 | Sheronica V Simmons | Nurse Practitioner | 2751 Albert L Bicknell Dr Ste 3c, Shreveport, LA 71103-3943 | 2020-10-25 |
| 1316410236 | Tanya Nicole Slayter | Nurse Practitioner | 1811 E Bert Koun Loop Ste 210, Shreveport, LA 71105-5740 | 2019-01-03 |
| 1679061279 | Antonya Williams | Nurse Practitioner | 9419 Amity Way, Shreveport, LA 71118-3601 | 2018-04-29 |
| 1922475227 | Dillon Hart Acnp, LLC | Nurse Practitioner | 5021 Beechwood Hills Dr, Shreveport, LA 71107-9175 | 2015-08-22 |
| 1487066296 | Alfred W. Hathorn Jr., M.d. Apmc | Nurse Practitioner | 2120 Bert Koun Loop, Suite # L, Shreveport, LA 71118-3351 | 2014-05-28 |
| 1427675701 | Lakyn Paige Smith | Nurse Practitioner | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2020-07-02 |
| 1700401908 | Amanda Marie Davis | Nurse Practitioner | 2751 Albert L Bicknell Dr Ste 5c, Shreveport, LA 71103-3943 | 2020-06-12 |
| 1437774635 | April Chase | Nurse Practitioner | 2751 Albert L Bicknell Dr Ste 5c, Shreveport, LA 71103-3943 | 2020-06-12 |
| 1215560578 | Benjamin Potter | Nurse Practitioner | 1800 Irving Pl, Shreveport, LA 71101-4608 | 2020-02-14 |
| 1922653443 | Tarcariyunn Shantay Caldwell | Nurse Practitioner | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2019-08-02 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
Please comment or provide details below to improve the information on CHENOA MADERE HAKUN.
| 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.