BROOKE MARIE STEPHENS (NPI# 1407245731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407245731 |
| Entity Type | Individual |
| Full Name | BROOKE MARIE STEPHENS |
| Credential | PA-C |
| Practice Address |
1111 Medical Center Blvd. Suite S-450 Marrero LA 70072-3151 |
| Mailing Address |
Po Box 1520 Marrero LA 70073 |
| Practice Telephone | 5043496401 |
| Practice Fax Number | 5043496444 |
| Mailing Telephone | 5043496423 |
| Mailing Fax Number | 5049348097 |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.200783 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2381130 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013556604 | Brooke Stephens | Behavior Technician | 5445 Smith Rd, Brookpark, OH 44142-2026 | 2019-12-30 |
| 1750942728 | Brooke Anne Stephens | Emergency Medicine | 981150 Nebraska Medical Ctr, Omaha, NE 68198-1150 | 2019-06-21 |
| Street Address |
1111 MEDICAL CENTER BLVD. SUITE S-450 |
| City | MARRERO |
| State | LA |
| Zip Code | 70072-3151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023018199 | Scott J. Acosta | Internal Medicine | 1111 Medical Center Blvd., Ste. S850, Marrero, LA 70072-3147 | 2005-07-29 |
| 1538535372 | Jennifer Waddell | Nurse Practitioner | 1111 Medical Center Blvd., Ste. S650, Marrero, LA 70072 | 2015-08-17 |
| 1942565767 | Siomara Gittens-galloway | Social Worker | 1111 Medical Center Blvd., Ste. N804, Marrero, LA 70072-3147 | 2012-07-09 |
| 1518235977 | Melissa Ridgeway O'quin | Nurse Practitioner | 1111 Medical Center Blvd., Ste. N703, Marrero, LA 70072-3147 | 2011-12-13 |
| 1780970194 | Carol F Guidry | Nurse Practitioner | 1111 Medical Center Blvd., Ste. N613, Marrero, LA 70072 | 2011-06-23 |
| 1205125531 | Kim-anh N Tran | Obstetrics & Gynecology | 1111 Medical Center Blvd., Ste. S250, Marrero, LA 70072 | 2011-04-07 |
| 1972827681 | Kelley Willis Sherling | Pathology | 1111 Medical Center Blvd., Sutie S-450, Marrero, LA 70072 | 2010-03-24 |
| 1669605721 | Meda Colvin LLC | Physical Medicine & Rehabilitation | 1111 Medical Center Blvd., Suite South 555, Marrero, LA 70072-0000 | 2009-08-24 |
| 1265691687 | Rachel Shelea Spears | Obstetrics & Gynecology | 1111 Medical Center Blvd., Ste. S250, Marrero, LA 70072 | 2008-06-02 |
| 1972774032 | Damian Godfrey Duhon | Nurse Anesthetist, Certified Registered | 1111 Medical Center Blvd., Suite S-450, Marrero, LA 70072 | 2008-03-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
| 1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
| 1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
| 1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
| 1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
| 1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
| 1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
| 1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
| 1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
| Find all providers in zip 70072 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063847333 | Meghan Catherine Messonnier | Physician Assistant | 1111 Medical Center Blvd, Suite S-450, Marrero, LA 70072-3151 | 2013-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120307 | Olivia Hockenjos | Physician Assistant | 1000 Chinaberry Dr Ste 1200, Bossier City, LA 71111-2463 | 2020-10-01 |
| 1053928622 | Kennedy Poole | Physician Assistant | 1643 Carter St Ste 1, Vidalia, LA 71373-3157 | 2020-09-28 |
| 1699382176 | Morgan Prejean | Physician Assistant | 11445 Coursey Blvd Ste L, Baton Rouge, LA 70816-0411 | 2020-09-28 |
| 1972118776 | Emma W Bollich | Physician Assistant | 6703 Ambassador Caffery Pkwy Ste 2, Broussard, LA 70518-5283 | 2020-09-09 |
| 1316595937 | Antonia Colombo | Physician Assistant | 2705 Fable St, Meraux, LA 70075-2372 | 2019-08-27 |
| 1861058752 | Christina Daigle | Physician Assistant | 1057 Paul Maillard Rd Ste 2210, Luling, LA 70070-4349 | 2019-05-15 |
| 1376078022 | Brian Ammon | Physician Assistant | 11831 Oakwilde Ave, Baton Rouge, LA 70810-3120 | 2017-05-01 |
| 1912448036 | Christy Stoltz | Physician Assistant | 120 N Pinaud St, Saint Martinville, LA 70582-4732 | 2017-03-09 |
| 1790228013 | Brian Keith Fontenot | Physician Assistant | 2751 Albert L Bicknell Dr Ste 5c, Shreveport, LA 71103-3943 | 2016-11-18 |
| 1932658002 | Taylor Christensen Mahtook | Physician Assistant | 4650 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508-6926 | 2016-09-29 |
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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.