MRS. JOHNETTA RENEE HALL (NPI# 1295714624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295714624 |
Entity Type | Individual |
Full Name | MRS. JOHNETTA RENEE HALL |
Credential | MEDICAL ASSISTANT |
Practice Address |
915 Ann St New Iberia LA 70560-5676 |
Mailing Address |
Po Box 10844 New Iberia LA 70562-0844 |
Practice Telephone | 3372565732 |
Practice Fax Number | 3372565732 |
Mailing Telephone | 3372565732 |
Mailing Fax Number | 3372565732 |
Enumeration Date | 2006-01-13 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | 9658742 | LA | Other Service Providers |
Street Address |
915 ANN ST |
City | NEW IBERIA |
State | LA |
Zip Code | 70560-5676 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316578289 | Kelly Koch | Speech-Language Pathologist | 3919 Highway 14, New Iberia, LA 70560 | 2020-01-30 |
1043791262 | Mark Gray | Case Manager/Care Coordinator | 4601 E Admiral Doyle Dr, New Iberia, LA 70560 | 2018-08-25 |
1215418512 | Jada Renee Delahoussaye | Case Manager/Care Coordinator | 324 Copper Rd, New Iberia, LA 70560 | 2018-08-24 |
1639665334 | Sarah D. Lalande | Audiologist | 2308 E Main St Ste B, New Iberia, LA 70560 | 2018-07-05 |
1447766142 | Kirston Gardner | Counselor | 902 Jefferson Ter Ste D, New Iberia, LA 70560 | 2017-12-18 |
1902334048 | Keithlyn James | Counselor | 902 Jefferson Ter Ste E, New Iberia, LA 70560 | 2017-06-02 |
1619424926 | Dialysis Clinic Inc | Clinic/Center | 2708 E. Main St, New Iberia, LA 70560 | 2016-09-02 |
1720433477 | Theresa Armstead | Counselor | 1614 East Main St., Ste D, 36o Mental Health, LLC, New Iberia, LA 70560 | 2016-05-02 |
1033564711 | Johonnah Metzel | Case Manager/Care Coordinator | 209 W Main St Ste 200, New Iberia, LA 70560 | 2016-04-29 |
1508241969 | Sworoop Thomas John | Internal Medicine | 2315 East Main Street, Medical Staff Office, New Iberia, LA 70560 | 2015-07-28 |
Find all providers in zip 70560 |
Taxonomy Code | 170100000X |
Grouping | Other Service Providers |
Classification | Medical Genetics, Ph.D. Medical Genetics |
A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992072953 | Acceptance Kidmed of La LLC | Medical Genetics, Ph.D. Medical Genetics | 947 N Bon Marche Dr, 107, Baton Rouge, LA 70806-8833 | 2011-11-18 |
1417289711 | Acceptance Community Care Clinic, LLC | Medical Genetics, Ph.D. Medical Genetics | 15142 Mary Elizabeth Dr, Baton Rouge, LA 70816-9043 | 2010-02-11 |
1669633541 | Evangeline Rachel Hall Franklin | Medical Genetics, Ph.D. Medical Genetics | 5640 Read Blvd Ste 540, New Orleans, LA 70127-7811 | 2008-06-23 |
1851420756 | Faith S. Rickert | Medical Genetics, Ph.D. Medical Genetics | 1705 Viola St., Mandeville, LA 70448 | 2007-03-05 |
1003978545 | Amite Physical Therapy | Medical Genetics, Ph.D. Medical Genetics | 216 N 2nd St, Amite, LA 70422-2408 | 2006-12-14 |
1578517066 | Acceptance Physical Medicine & Rehabilitation Clinic, LLC | Medical Genetics, Ph.D. Medical Genetics | 2156 Wooddale Blvd, Suite 140, Baton Rouge, LA 70806-1403 | 2006-05-20 |
1013387620 | Mary Catherine Phelan Iv | Medical Genetics, Ph.D. Medical Genetics | 1430 Tulane Ave, Sl31, New Orleans, LA 70112-2632 | 2015-09-25 |
1982981320 | Accent Urgent Care Clinic LLC | Medical Genetics, Ph.D. Medical Genetics | 1821 Wooddale Ct, Suite 203, Baton Rouge, LA 70806-1535 | 2011-11-14 |
1245463710 | Acceptance Kidmed of Louisiana LLC | Medical Genetics, Ph.D. Medical Genetics | 2708 Wooddale Blvd, Suite A2, Baton Rouge, LA 70805-7541 | 2009-08-31 |
1962644641 | Acceptance Physical Medicine & Rehab Clinic, LLC | Medical Genetics, Ph.D. Medical Genetics | 2708 Wooddale Blvd, Suite A2, Baton Rouge, LA 70805-7541 | 2009-03-27 |
Find all providers with the same taxonomy |
City | NEW IBERIA |
Zip Code | 70560 |
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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.