LESLIE WOOLARD (NPI# 1437613783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437613783 |
Entity Type | Individual |
Full Name | LESLIE WOOLARD |
Credential | RN |
Practice Address |
1600 Broad Ave Gulfport MS 39501-3603 |
Practice Telephone | 2288651719 |
Practice Fax Number | 2288651780 |
Mailing Telephone | 2288651719 |
Mailing Fax Number | 2288651780 |
Enumeration Date | 2019-01-30 |
Last Update Date | 2019-07-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
869353 | MS | Nursing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265761431 | Leslie Woolard | Speech-Language Pathologist | 1702 Hwy 70 E Ste D, New Bern, NC 28560-6829 | 2009-12-16 |
Street Address |
1600 BROAD AVE |
City | GULFPORT |
State | MS |
Zip Code | 39501-3603 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417934175 | Gulf Coast Mental Health Center | Psychologist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2005-12-23 |
1043811839 | Kathy Ulland | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-11-06 |
1508463357 | Nicole Brown | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-10-05 |
1407453376 | Brian Weber | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-10-05 |
1457958639 | Krysten Vagedes | Registered Nurse | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-10-01 |
1184239436 | Yeinil Guzman | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-09-14 |
1972117216 | Nicole Hymel | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-09-03 |
1053921668 | Dana Alexis Mixon | Counselor | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-08-07 |
1801405964 | Elizabeth Moran | Peer Specialist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-07-24 |
1013526177 | June Boudreaux | Peer Specialist | 1600 Broad Ave, Gulfport, MS 39501-3603 | 2020-07-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598301632 | Daniel Edward Bloom | Physician Assistant | Naval Branch Health Clinic Gulfport, 5502 Marvin Shields Blvd, Gulfport, MS 39501 | 2019-11-25 |
1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
Find all providers in zip 39501 |
Taxonomy Code | 163WP0809X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790952950 | Anne Romig Tucker | Registered Nurse | 4500 13th St, Gulfport, MS 39501-2515 | 2008-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073142600 | Chelsea Cara Mcmillin | Registered Nurse | 2014 C East Chambers Drive, Booneville, MS 38829 | 2020-04-06 |
1841609161 | Vicki Watson | Registered Nurse | 2594 Coldsprings Rd, Sardis, MS 38666-5644 | 2014-08-12 |
1962796540 | Paula Evette Geeter | Registered Nurse | 4062 Rosebury Ln, Horn Lake, MS 38637-7310 | 2011-06-01 |
1003996265 | Brenda E Day | Registered Nurse | 1500 Woodrow Wilson Blvd East, Va Medical Center, Jackson, MS 39216 | 2006-10-16 |
1912007832 | Jeanne H Palmer | Registered Nurse | 1500 E. Woodrow Wilson Dr, Jackson, MS 39216-5116 | 2006-09-22 |
1235239179 | Nita Aurora Magee | Registered Nurse | 1500 E Woodrow Wilson Ave # 116-a3, Jackson, MS 39216-5116 | 2006-09-22 |
1265546774 | Vinnie Curry Beckley | Registered Nurse | 1500 East Woodrow Wilson Drive (116a3), Jackson, MS 39216-5199 | 2006-08-19 |
1932707999 | Tanya Evans | Registered Nurse | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-10-13 |
1578179545 | Tiffany Nail | Registered Nurse | 152 Highway 7 S, Oxford, MS 38655-5392 | 2020-09-16 |
1437406485 | Teresa D Kendrick | Registered Nurse | 611 Alcorn Dr, Corinth, MS 38834-9321 | 2012-08-09 |
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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.