ANDREA THEODORE (NPI# 1386169217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386169217 |
| Entity Type | Individual |
| Full Name | ANDREA THEODORE |
| Credential | FNP-C |
| Practice Address |
1125 N Tonti St New Orleans LA 70119-3549 |
| Mailing Address |
7300 Farwood Dr New Orleans LA 70126-3260 |
| Practice Telephone | 5048219211 |
| Practice Fax Number | 5043715162 |
| Mailing Telephone | (504) 338-9362 |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP09533 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19100 Dr John Lambert Dr, Hammond, LA 704030922 | 9854675723 | 9854670896 |
| Street Address |
1125 N TONTI ST |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70119-3549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649283128 | Jacqueline None Rhoads | Nurse Practitioner | 1125 N Tonti St, New Orleans, LA 70119-3549 | 2006-08-14 |
| 1518576099 | Krystal Brown | Social Worker | 1125 N Tonti St, New Orleans, LA 70119-3598 | 2020-07-30 |
| 1679181481 | Kathryn Lynne Durrett | Counselor | 1125 N Tonti St, New Orleans, LA 70119-3598 | 2020-07-17 |
| 1336770734 | Evan Thomas Groomer | Counselor | 1125 N Tonti St, New Orleans, LA 70119-3598 | 2020-02-04 |
| 1619524006 | Johnathan Crosby Smith | Nurse Practitioner | 1125 N Tonti St, New Orleans, LA 70119-3549 | 2019-08-21 |
| 1003385030 | Caroline Caronna | Social Worker | 1125 N Tonti St, New Orleans, LA 70119-3598 | 2018-11-20 |
| 1437638251 | Eva Pesta | Social Worker | 1125 N Tonti St, New Orleans, LA 70119-3598 | 2018-08-13 |
| 1396238044 | Charlette Robinson-jackson | Case Manager/Care Coordinator | 1125 N Tonti St, New Orleans, LA 70119-3598 | 2018-06-07 |
| 1104332501 | Lauren Kathryn Roberts | Counselor | 1125 N Tonti St, New Orleans, LA 70119-3549 | 2017-12-20 |
| 1720526023 | Deena Provance | Social Worker | 1125 N Tonti St, New Orleans, LA 70119-3549 | 2017-02-07 |
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| 1578161105 | Mark P Kostelak | Perfusionist | Southeast Louisiana Veterans Health Care System, 2400 Canal Street, New Orleans, LA 70119 | 2020-10-15 |
| 1922626365 | Shanika Valcour-leduff | Nurse Practitioner | 535 S Galvez St., New Orleans, LA 70119 | 2020-07-13 |
| 1932723335 | Just Health | Clinic/Center | 2800 Perdido St, New Orleans, LA 70119 | 2020-06-01 |
| 1205460235 | Lily Tran | Registered Nurse | 119 S Galvez Street, New Orleans, LA 70119 | 2020-02-28 |
| 1740823137 | Kaylyn Bernard | Case Manager/Care Coordinator | 2626 Canal St., New Orleans, LA 70119 | 2019-10-18 |
| 1114577954 | Alyssia Breion Smith | Case Manager/Care Coordinator | 1995 Gentilly Blvd. Ste. C-400, New Orleans, LA 70119 | 2019-09-13 |
| 1457903387 | Brian Steven Goldfarb | Dentist | 3701 Conti St, Apt #3403, New Orleans, LA 70119 | 2019-07-11 |
| 1013404011 | Made Positive, Inc. | Community/Behavioral Health | 3443 Esplanade Ave., Suite 215, New Orleans, LA 70119 | 2018-04-16 |
| 1972008654 | Griffin Caballero Brown | Student in an Organized Health Care Education/Training Program | 520 Jefferson Davis Hwy, New Orleans, LA 70119 | 2018-03-26 |
| 1902300544 | Kyle Raymond Hoppens | Student in an Organized Health Care Education/Training Program | 4502 Saint Ann Street, New Orleans, LA 70119 | 2018-03-20 |
| Find all providers in zip 70119 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770102030 | Molvie Greene | Nurse Practitioner | 10 Fairway Oaks Dr, New Orleans, LA 70131-3336 | 2020-04-15 |
| 1942832324 | Latonya Darensbourg | Nurse Practitioner | 2601 Gentilly Blvd, New Orleans, LA 70122-3043 | 2020-02-04 |
| 1659901346 | Roma L Victor | Nurse Practitioner | 214 Topaz St, New Orleans, LA 70124-2634 | 2020-01-22 |
| 1740831916 | Trish E Dauphin | Nurse Practitioner | 3405 St.claude, New Orleans, LA 70117-7011 | 2019-09-27 |
| 1215582309 | Christine Payton | Nurse Practitioner | 3969 Mimosa Dr, New Orleans, LA 70131-8311 | 2019-08-06 |
| 1851952410 | Nola Central City Clinic | Nurse Practitioner | 1301 Simon Bolivar Ave Apt 227, New Orleans, LA 70113-2272 | 2019-06-25 |
| 1003389628 | Premier Medical Clinics | Nurse Practitioner | 3405 Saint Claude Ave Ste C, New Orleans, LA 70117-6144 | 2019-01-07 |
| 1578043444 | Miranda Renee Willis | Nurse Practitioner | 5646 Read Blvd # 280, New Orleans, LA 70127-3106 | 2018-08-20 |
| 1417434333 | Meghan Traylor | Nurse Practitioner | 411 N Carrollton Ave Ste 4, New Orleans, LA 70119-4754 | 2018-07-24 |
| 1215422324 | Kenneth Sehon | Nurse Practitioner | 1514 Jefferson Hwy, Ct 6, New Orleans, LA 70121-2429 | 2018-06-30 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70119 |
Please comment or provide details below to improve the information on ANDREA THEODORE.
| 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.