LANDRY BAGWELL (NPI# 1356862858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356862858 |
| Entity Type | Individual |
| Full Name | LANDRY BAGWELL |
| Credential | NP |
| Practice Address |
312 Grammont St Ste 303 Monroe LA 71201-7403 |
| Mailing Address |
5959 S Sherwood Forest Blvd Baton Rouge LA 70816-6038 |
| Practice Telephone | 3189668850 |
| Practice Fax Number | 3189668851 |
| Mailing Telephone | (225) 526-0001 |
| Mailing Fax Number | 2257659196 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2017-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP09320 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
312 GRAMMONT ST STE 303 |
| City | MONROE |
| State | LA |
| Zip Code | 71201-7403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346612173 | Robin Renee Hart Smith | Nurse Practitioner | 312 Grammont St Ste 303, Monroe, LA 71201-7403 | 2015-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609122787 | Jaimme Lee Franson | Nurse Practitioner | 324 Elm St Suite 202b, Monroe, CT 06468 | 2012-07-26 |
| 1356608921 | Livia Truelove Zalewski | Nurse Practitioner | 3510 Medical Park Drive, Suite 9, Monroe, LA 71203 | 2012-04-19 |
| 1114115706 | Practitioner Support Services LLP | Nurse Practitioner | 324 Elm St Ste 202b, Monroe, CT 06468-2284 | 2007-10-09 |
| 1205964038 | Mary Alice Thiel | Nurse Practitioner | 35 Overbrook Dr Ste 100, Monroe, OH 45050-1199 | 2007-03-01 |
| 1295332302 | Takinya Raneese Binion-minor | Nurse Practitioner | 4864 Jackson St, Monroe, LA 71202-6400 | 2020-10-02 |
| 1346857604 | Jamie Lynn Putnam Guillot | Nurse Practitioner | 4864 Jackson St, Monroe, LA 71202-6400 | 2020-09-30 |
| 1255957494 | Nicole Philippon | Nurse Practitioner | 718 N Macomb St, Monroe, MI 48162-7815 | 2020-06-23 |
| 1114414547 | Darcey R Cusano | Nurse Practitioner | 324 Elm St Ste 202b, Monroe, CT 06468-2284 | 2018-04-20 |
| 1740687334 | Jo Lynn O'quain | Nurse Practitioner | 1162 Oliver Rd Ste 4, Monroe, LA 71201-5757 | 2014-11-25 |
| 1205253861 | Sandra Browder | Nurse Practitioner | 309 Jackson St, Monroe, LA 71201-7407 | 2014-03-20 |
| Find all providers in MONROE | ||||
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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.