KORI FOGG JUBAN (NPI# 1346761301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346761301 |
| Entity Type | Individual |
| Full Name | KORI FOGG JUBAN |
| Practice Address |
5000 Odonavan Blvd Ste 404 Walker LA 70785-6355 |
| Mailing Address |
5959 S Sherwood Forest Blvd Baton Rouge LA 70816-6038 |
| Practice Telephone | 2253698100 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2017-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP09218 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5000 ODONAVAN BLVD STE 404 |
| City | WALKER |
| State | LA |
| Zip Code | 70785-6355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900385 | Amy L. Miller | Nurse Practitioner | 5000 Odonavan Blvd Ste 404, Walker, LA 70785-6355 | 2020-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538680228 | Megan Price Berthelot | Pharmacist | 29881 Walker South Rd., Walker, LA 70785 | 2017-07-03 |
| 1275994956 | Shelby Reeder | Counselor | 31947 Little Flock Circle, Walker, LA 70785 | 2016-03-09 |
| 1326440561 | Ashley Dominique Williams | Pharmacist | 29881 Walker Rd, Walker, LA 70785 | 2014-09-18 |
| 1881094803 | Dennis Cutrer | Pharmacist | 28720 Walker South Rd, Walker, LA 70785 | 2014-08-27 |
| 1497011548 | April Taylor Sanchez | Dermatology | 29799 Walker Rd S, Walker, LA 70785 | 2012-04-03 |
| 1457622219 | Village Pharmacy | Pharmacy | 29811 Walker South Rd., Walker, LA 70785 | 2012-01-25 |
| 1760765572 | Donny Luke Bourgeois | Pharmacist | 29881 Walker South Road, Walker, LA 70785 | 2011-09-28 |
| 1689962821 | Village Pharmacy 2 | Home Health | 29811 Walker South Rd, Walker, LA 70785 | 2011-07-20 |
| 1316237928 | Village Pharmacy At Walker | Pharmacy | 29811 Walker South Road, Walker, LA 70785 | 2011-04-15 |
| 1174783344 | Laura Lynne Drake | Pediatrics | 9775 Highway 190, Suite F, Walker, LA 70785 | 2008-06-11 |
| Find all providers in zip 70785 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104005560 | Tami Nysse | Nurse Practitioner | 1175 Wilson Ave Nw, Walker, MI 49534-6404 | 2007-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369706 | Karla Matthews | Nurse Practitioner | 3710 South Rochenblave St., New Orleans, LA 70125-1003 | 2020-09-03 |
| 1972117455 | Erin Mccabe | Nurse Practitioner | 3712 Tartan Dr, Metairie, LA 70003-1640 | 2020-09-02 |
| 1023620259 | Caroline Hebert | Nurse Practitioner | 1297 Saint Charles St Ste H, Houma, LA 70360-2869 | 2020-08-19 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1124638036 | Kimberly Roshelle Coney | Nurse Practitioner | 62112 Bennett Rd, Roseland, LA 70456-1706 | 2020-08-05 |
| 1356951396 | Advance Clinical Associates LLC | Nurse Practitioner | 2505 Cypress Springs Ave, Ruston, LA 71270-5109 | 2020-08-05 |
| 1487264594 | Neely Primary | Nurse Practitioner | 102 Independence Blvd, Lafayette, LA 70506-6085 | 2020-08-04 |
| 1225648629 | Indria Kendrick | Nurse Practitioner | 62 Creduer Rd, Pineville, LA 71360-9165 | 2020-07-31 |
| 1770192171 | Celeste Woodard Brown | Nurse Practitioner | 751 Bayou Pines East Dr Ste L, Lake Charles, LA 70601-7196 | 2020-07-31 |
| 1306455498 | Headache Center Nola, LLC | Nurse Practitioner | 2221 Clearview Pkwy Ste 203, Metairie, LA 70001-2497 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
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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.