ANTHONIA N. IMUDIA (NPI# 1386718153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386718153 |
| Entity Type | Individual |
| Full Name | ANTHONIA N. IMUDIA |
| Practice Address |
3715 Williams Blvd Suite 100 Kenner LA 70065-3075 |
| Mailing Address |
1008 Chateau Lafitte Dr W Kenner LA 70065-1998 |
| Practice Telephone | 5044686645 |
| Mailing Telephone | 5044729222 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP04583 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3715 WILLIAMS BLVD SUITE 100 |
| City | KENNER |
| State | LA |
| Zip Code | 70065-3075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457802332 | Marillac Community Health Centers | Clinic/Center | 3715 Williams Blvd, Suite 220, Kenner, LA 70065-3075 | 2016-10-17 |
| 1932583291 | Oanh Nguyen | Physician Assistant | 3715 Williams Blvd, Suite #100, Kenner, LA 70065-3075 | 2015-07-16 |
| 1104210004 | Ndc II Child and Family Services LLC | Counselor | 3715 Williams Blvd, Suite 103, Kenner, LA 70065-3075 | 2015-03-27 |
| 1013307461 | Patricia Alexis Reed | Physician Assistant | 3715 Williams Blvd, Suite 100, Kenner, LA 70065-3075 | 2015-01-23 |
| 1831594241 | Marillac Community Health Centers | Family Medicine | 3715 Williams Blvd, Suite 220, Kenner, LA 70065-3075 | 2014-10-28 |
| 1487084216 | Michelda West | Nurse Practitioner | 3715 Williams Blvd, Ste. 100, Kenner, LA 70065-3075 | 2013-11-14 |
| 1508103599 | De Shon Berry | Counselor | 3715 Williams Blvd, Suite 105, Kenner, LA 70065-3075 | 2013-01-10 |
| 1861795874 | Marilyn Dale Dimarco | Nurse Practitioner | 3715 Williams Blvd, Suite 100, Kenner, LA 70065-3075 | 2010-12-13 |
| 1003138884 | Pathways Behavioral Center, LLC | Counselor | 3715 Williams Blvd, Suite 102, Kenner, LA 70065-3075 | 2010-02-22 |
| 1770755027 | Leading Edge Services International Inc | Community/Behavioral Health | 3715 Williams Blvd, Suite 100, Kenner, LA 70065-3075 | 2008-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689226946 | Silver Lining Dentistry & Co. | Clinic/Center | 2305 West Esplanade Suit U, Kenner, LA 70065 | 2019-07-16 |
| 1912462615 | Tamiqua Monique Torres | Lactation Consultant, Non-RN | 4129 Idaho Ave #a, Kenner, LA 70065 | 2019-02-06 |
| 1649766650 | Kenner Dental Associates, LLC | Dentist | 1501 32nd St., Kenner, LA 70065 | 2018-07-03 |
| 1194216465 | Shanne Gilbert | Technician, Pathology | Kenner Metairie and Surrounding Areas, Kenner, LA 70065 | 2018-05-23 |
| 1437668597 | Jbl Rx LLC | Pharmacy | 2305 West Esplanade Ave, Suite T, Kenner, LA 70065 | 2017-09-21 |
| 1073049532 | Jonathan English | Counselor | 3701 Tulane Dr, Kenner, LA 70065 | 2017-05-03 |
| 1033644752 | Fonteno Services LLC | Non-emergency Medical Transport (VAN) | 3017 Huntsville, St, Kenner, LA 70065 | 2017-05-01 |
| 1821521915 | Shondreca Nicole Sanders | Counselor | 4520 Williams Blvd, #y383, Kenner, LA 70065 | 2017-04-06 |
| 1225570104 | Dominiece Lacroix | Nurse Practitioner | 3616 Loyola Drive, 271, Kenner, LA 70065 | 2016-11-09 |
| 1427506286 | Lisandra Nunez | Counselor | 153 Auburn Pl, Kenner, LA 70065 | 2016-09-21 |
| Find all providers in zip 70065 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780294462 | Michael David George | Nurse Practitioner | 812 Joe Yenni Blvd Apt 2, Kenner, LA 70065-1232 | 2020-08-06 |
| 1437664943 | Primary Care At Home of Louisiana Iv, LLC | Nurse Practitioner | 200 W Esplanade Ave Ste 601, Kenner, LA 70065-2475 | 2017-12-06 |
| 1467975045 | April Denice Calahan | Nurse Practitioner | 2801 Bruin Dr, Kenner, LA 70065-4707 | 2017-07-25 |
| 1225570104 | Dominiece Lacroix | Nurse Practitioner | 3616 Loyola Drive, 271, Kenner, LA 70065 | 2016-11-09 |
| 1588003586 | Kerissa Naquin Fernandez | Nurse Practitioner | 231 W Esplanade Ave Ste B, Kenner, LA 70065-2459 | 2013-06-24 |
| 1295061901 | Charla Jane Scheve | Nurse Practitioner | 4229 Pommard Dr, Kenner, LA 70065-1759 | 2009-10-30 |
| 1427257773 | Jamie Mitchell Mcdonald | Nurse Practitioner | Samuel Y Brown Pediatrics, 3813 Williams Blvd, Kenner, LA 70065 | 2007-07-17 |
| 1467457481 | Deanna M Quinn-stevenson | Nurse Practitioner | 820 W Esplanade Ave, Kenner, LA 70065-2757 | 2005-06-16 |
| 1235784505 | Katherine Boston | Nurse Practitioner | 200 W Esplanade Ave, Kenner, LA 70065-2489 | 2019-08-05 |
| 1659838118 | Shannon A Howard | Nurse Practitioner | 2900 Indiana Ave, Kenner, LA 70065-4605 | 2019-02-20 |
| Find all providers in KENNER | ||||
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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.