MR. SEDRICK TERRELL MILTON II (NPI# 1417596271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417596271 |
| Entity Type | Individual |
| Full Name | MR. SEDRICK TERRELL MILTON II |
| Practice Address |
51472 Harrison Milton Ln Independence LA 70443-2269 |
| Mailing Address |
8326 Kelwood Ave Baton Rouge LA 70806-4803 |
| Practice Telephone | 9859748983 |
| Mailing Telephone | 2259299783 |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2019-12-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | LA | Other Service Providers |
| Street Address |
51472 HARRISON MILTON LN |
| City | INDEPENDENCE |
| State | LA |
| Zip Code | 70443-2269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336696830 | Nicole Blanchard Chapel | Counselor | 5001 Hwy 190, East Service Rd, Suite C6, Mandeville, LA 70443 | 2016-09-01 |
| 1043668783 | Southeast Community Health Systems | Clinic/Center | 55420 N. Railroad Avenue, Independence, LA 70443 | 2016-06-02 |
| 1144614645 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 515 3rd Street, Independence, LA 70443 | 2015-03-23 |
| 1063842912 | Moritha Johnson | Licensed Practical Nurse | 14175 Rev. J. White Rd, Independence, LA 70443 | 2013-11-13 |
| 1053749739 | Southeast Community Health Systems | Clinic/Center | 336 East Railroad Avenue, Independence, LA 70443 | 2013-10-16 |
| 1689931370 | Casey L Hastings | Emergency Medicine | 52579 Us State Route 51, Lallie Kemp, Independence, LA 70443 | 2012-04-18 |
| 1326345414 | Alfaa House Community Center | Psychiatric Hospital | 306 W 4th Street, Independence, LA 70443 | 2011-02-25 |
| 1609177864 | Charles R Genovese Jr Md Inc | Specialist | 312 E Rail Road Ave, Independence, LA 70443 | 2010-11-04 |
| 1437300233 | L A Homecare 1 Inc | In Home Supportive Care | 146 Hwy 40, C, Independence, LA 70443 | 2008-10-10 |
| 1770758120 | Ila Jean Cascio | Speech-Language Pathologist | 51642 Hwy 1065, Independence, LA 70443 | 2008-04-28 |
| Find all providers in zip 70443 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700401148 | Carissa Lee Sutfin | Peer Specialist | 6103 Dora Blvd, Independence, OH 44131-4930 | 2020-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1225661705 | Catrina Renee Chavis | Peer Specialist | 513 E 5th St, Deridder, LA 70634-7080 | 2020-02-12 |
| 1093347379 | Koti Trahan | Peer Specialist | 550 Melrose Dr, La Place, LA 70068-3512 | 2020-02-05 |
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1275173460 | Roshon Shantell Lloyd | Peer Specialist | 2048 Waters Dr, Marrero, LA 70072-4633 | 2020-01-15 |
| 1114567302 | Ruth Bermudez | Peer Specialist | 4747 Earhart Blvd Suite D, New Orleans, LA 70127 | 2020-01-15 |
| 1386284693 | Derrick D Landry | Peer Specialist | 7812 Shelly St, New Orleans, LA 70126-1435 | 2020-01-14 |
| 1922648203 | Cameron Ray Pogue | Peer Specialist | 1011 Malcolm St, Franklin, LA 70538-4341 | 2020-01-14 |
| Find all providers with the same taxonomy | ||||
| City | INDEPENDENCE |
| Zip Code | 70443 |
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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.