MRS. CARYLON NICKELBERRY (NPI# 1326597964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326597964 |
| Entity Type | Individual |
| Full Name | MRS. CARYLON NICKELBERRY |
| Practice Address |
4311 Gabriel Cir Shreveport LA 71109-6602 |
| Practice Telephone | 3188343086 |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
LA | Behavioral Health & Social Service Providers | |
| N | 235Z00000X | Speech-Language Pathologist | 276 | LA | Speech, Language and Hearing Service Providers |
| Street Address |
4311 GABRIEL CIR |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71109-6602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784416 | Barbara Smith | Counselor | 4019 Greenwood Road, Shreveport, LA 71109 | 2017-08-01 |
| 1508306135 | Cherise Sims | Case Manager/Care Coordinator | 3512 Greenbriar Dr, Shreveport, LA 71109 | 2017-03-01 |
| 1174063093 | Nitika Pinesett | Case Manager/Care Coordinator | 3011 Independence Ave, Shreveport, LA 71109 | 2017-02-24 |
| 1831640986 | Aleric Hamilton | Counselor | 2605 Leaf Ln, Shreveport, LA 71109 | 2016-10-24 |
| 1144673963 | Lakeishia Johnson | Technician | 5342 Broadway Ave, Shreveport, LA 71109 | 2016-07-16 |
| 1083074223 | Patricia Pouncy | Counselor | 4019 Greenwood Rd, Shreveport, LA 71109 | 2016-03-01 |
| 1326418518 | Deepasulochana Sivasankaraganesan | Dentist | 3719 Jewella Ave, Shreveport, LA 71109 | 2015-09-30 |
| 1063611838 | Della Edwards Wills | Social Worker | 4615 Monkhouse Drive, Ste A-2-b, Shreveport, LA 71109 | 2007-07-12 |
| 1083743041 | An Endless Love Home Care, LLC | Point of Service | 6259 Tinker Street, Shreveport, LA 71109 | 2007-03-05 |
| 1316009624 | Djenane Rousseau | Pharmacist | 4140 Hollywood, Shreveport, LA 71109 | 2006-12-14 |
| Find all providers in zip 71109 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013407006 | Kimron Smith | Counselor | 7550 Pines Road Suite 1115, Shreveport, LA 71129 | 2018-05-15 |
| 1215458930 | Yolanda Hensley Dodson | Counselor | 2924 Knight Street Bldg. 4 Suite 426, Shreveport, LA 71105 | 2017-07-03 |
| 1437532249 | Ashley Enders Clinger | Counselor | 820 Jordan St Ste 485, Shreveport, LA 71101-4533 | 2015-06-30 |
| 1669945986 | Melvin Lars | Counselor | 4111 Metro Dr Ste B, Shreveport, LA 71109-6001 | 2019-01-09 |
| 1518490465 | Casandra Wallace | Counselor | 6811 Fairfield Ave, Shreveport, LA 71106-3803 | 2017-04-07 |
| 1154879161 | Claude J Russell IIi | Counselor | 1406 Hawn Ave, Shreveport, LA 71107-6532 | 2016-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720558026 | Brendan Michael Turner | Counselor | 1035 Calhoun St Fl 3, New Orleans, LA 70118-5913 | 2018-11-29 |
| 1851809214 | Latoya M Gray | Counselor | 132 Kelly St, Natchitoches, LA 71457 | 2018-01-18 |
| 1124535562 | Lisa M Miller | Counselor | 1211 Austin Rd, Opelousas, LA 70570 | 2018-01-08 |
| 1720505076 | Amy C Rochon | Counselor | 315 Amesbury Drive, Apt 292, Lafayette, LA 70507 | 2017-08-28 |
| 1952849085 | Emmar Mayberry | Counselor | 7551 Anne Marie Ct, New Orleans, LA 70128 | 2017-02-09 |
| 1780033175 | Compassionate Hearts Ministry | Counselor | 5709 Goodland Trce, Alexandria, LA 71301-2655 | 2016-06-07 |
| 1366800328 | Diversion Youth and Family Counseling LLC | Counselor | 12524 Merlin Ave, Baton Rouge, LA 70816-2494 | 2016-02-05 |
| 1790157121 | Trevis Alford | Counselor | 3845 E Loyola Dr, Kenner, LA 70065-2548 | 2015-10-25 |
| 1730598202 | Rebecca Teasley | Counselor | 3800 Highway 1216, Zwolle, LA 71486-3081 | 2014-08-08 |
| 1619391471 | Jenee Alleman | Counselor | 809 Summer Breeze Dr Apt 1002, Baton Rouge, LA 70810-6297 | 2014-02-13 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71109 |
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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.