DEANNA FREDERICKS HARLESS (NPI# 1407852288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407852288 |
| Entity Type | Individual |
| Full Name | DEANNA FREDERICKS HARLESS |
| Credential | ACNP |
| Practice Address |
1614 Wolf Cir Lake Charles LA 70605-2348 |
| Mailing Address |
Po Box 1786 Lake Charles LA 70602-1786 |
| Practice Telephone | 3374789653 |
| Practice Fax Number | 3374740988 |
| Mailing Telephone | 3374789653 |
| Mailing Fax Number | 3374740988 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2009-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN054166 AP03616 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1436461 | 05 |
| Street Address |
1614 WOLF CIR |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-2348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740644897 | Lindsay Viator | Nurse Practitioner | 1614 Wolf Cir, Lake Charles, LA 70605-2348 | 2016-04-05 |
| 1740643477 | Christus Health Swla | Nurse Practitioner | 1614 Wolf Cir, Lake Charles, LA 70605-2348 | 2016-03-31 |
| 1104267301 | Christus Health Southwestern Louisiana | Neurological Surgery | 1614 Wolf Cir, Lake Charles, LA 70605-2348 | 2013-07-16 |
| 1982910014 | Kasie Carin Nix | Nurse Practitioner | 1614 Wolf Cir, Lake Charles, LA 70605-2348 | 2010-08-26 |
| 1073842134 | Tara C Barnes | Nurse Practitioner | 1614 Wolf Cir, Lake Charles, LA 70605-2348 | 2009-12-18 |
| 1750587838 | Brian Christopher Kelley | Neurological Surgery | 1614 Wolf Cir, Lake Charles, LA 70605-2348 | 2007-06-25 |
| 1184631210 | Center for Neurosurgical and Spine Disorders, LLC | Neurological Surgery | 1614 Wolf Cir, Lake Charles, LA 70605-2348 | 2006-08-02 |
| 1104865336 | Shelly Kaye Guillory | Nurse Practitioner | 1614 Wolf Cir, Lake Charles, LA 70605-2348 | 2006-06-05 |
| 1942206727 | Erich W Wolf Jr. | Neurological Surgery | 1614 Wolf Cir, Lake Charles, LA 70605-2348 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033321518 | Victoria Lee Skold | Nurse Practitioner | 1510 W Mcneese, Lake Charles, LA 70605 | 2007-05-04 |
| 1134755747 | Darby Kathleen Valentine | Nurse Practitioner | 2770 3rd Ave Ste 110, Lake Charles, LA 70601-0404 | 2020-03-15 |
| 1912530510 | Kathryn Claire Anderson | Nurse Practitioner | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2020-02-21 |
| 1043732894 | Ilea Nauts | Nurse Practitioner | 1701 Oak Park Blvd, Lake Charles, LA 70601-8911 | 2017-07-13 |
| 1326422924 | Lance Henagan | Nurse Practitioner | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2015-07-13 |
| 1508013780 | Lauren Hay | Nurse Practitioner | 4200 Nelson Rd, Lake Charles, LA 70605-4118 | 2008-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293355 | Sheronica V Simmons | Nurse Practitioner | 2751 Albert L Bicknell Dr Ste 3c, Shreveport, LA 71103-3943 | 2020-10-25 |
| 1699372169 | Alexis Christian | Nurse Practitioner | 4319 Carter St, Vidalia, LA 71373-3152 | 2020-10-07 |
| 1669087607 | Stella Yonga | Nurse Practitioner | 5913 Bocage Dr, Alexandria, LA 71303-2190 | 2020-09-15 |
| 1366056871 | Terry Lynn Jackson | Nurse Practitioner | 4922 General Ashley Dr, Bossier City, LA 71112-4764 | 2020-09-02 |
| 1285272641 | Elizabeth Grace Robinson | Nurse Practitioner | 5717 Lake Side Dr, Bossier City, LA 71111-5509 | 2019-12-17 |
| 1316410236 | Tanya Nicole Slayter | Nurse Practitioner | 1811 E Bert Koun Loop Ste 210, Shreveport, LA 71105-5740 | 2019-01-03 |
| 1114402013 | Hayley Mitchell | Nurse Practitioner | 200 W Esplanade Ave Ste 103, Kenner, LA 70065-2473 | 2018-09-27 |
| 1679061279 | Antonya Williams | Nurse Practitioner | 9419 Amity Way, Shreveport, LA 71118-3601 | 2018-04-29 |
| 1073013702 | Holly Holmes Leonhard | Nurse Practitioner | 648 Crestwood Dr, Covington, LA 70433 | 2018-02-19 |
| 1932649837 | Stephanie Johnson | Nurse Practitioner | 37082 Agnes Webb Ave, Prairieville, LA 70769-3397 | 2017-02-27 |
| Find all providers with the same taxonomy | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
Please comment or provide details below to improve the information on DEANNA FREDERICKS HARLESS.
| 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.