MR. KODY EDMOND SINGLETON (NPI# 1457841025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457841025 |
| Entity Type | Individual |
| Full Name | MR. KODY EDMOND SINGLETON |
| Credential | PA |
| Practice Address |
1014 Saint Clair Blvd Ste 1020 Gonzales LA 70737-5027 |
| Mailing Address |
2001 Oak Creek Rd Apt B315 River Ridge LA 70123-5841 |
| Practice Telephone | 2257432000 |
| Mailing Telephone | 3185330445 |
| Enumeration Date | 2018-05-18 |
| Last Update Date | 2018-05-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 308917 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1014 SAINT CLAIR BLVD STE 1020 |
| City | GONZALES |
| State | LA |
| Zip Code | 70737-5027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461593 | Scott G Petrie Md Apmc | Non-Pharmacy Dispensing Site | 1014 West St Clare Boulevard, Ste 1020, Gonzales, LA 70737 | 2020-09-15 |
| 1407461981 | Bryant Louis Bourgeois | Dentist | 13317 N Burnside, Gonzales, LA 70737 | 2020-09-11 |
| 1821612631 | Kene Anje Hamilton | Behavioral Analyst | 1028 East Worthy Street, Gonzales, LA 70737 | 2020-06-08 |
| 1801428636 | Mercedes Francis | Behavior Technician | 1023 E W Worthy Rd, Gonzales, LA 70737 | 2020-02-10 |
| 1407347586 | Functional Dme | Prosthetic/Orthotic Supplier | 219 W. Eastbank St., Ste B, Gonzales, LA 70737 | 2018-05-23 |
| 1235631789 | Transporting On Purpose | Non-emergency Medical Transport (VAN) | 42148 Conifer Drive, Gonzales, LA 70737 | 2018-03-01 |
| 1215453121 | Michelle Fuller Harris | Social Worker | 39094 N Angelle Ct, Gonzales, LA 70737 | 2017-08-22 |
| 1215452529 | Lani Litchfield | Specialist/Technologist | 13341 W. Mill Grove Dr, Gonzales, LA 70737 | 2017-08-08 |
| 1326569369 | Tyler Joshua Turner | Counselor | 1923 South Edwards, Gonzales, LA 70737 | 2017-06-29 |
| 1518408046 | Margaret Madere | Social Worker | 2827 S Ruby Street, Gonzales, LA 70737 | 2017-03-16 |
| Find all providers in zip 70737 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528476959 | Brooke Bridevaux Borskey | Physician Assistant | 2647 S Saint Elizabeth Blvd Ste 301, Gonzales, LA 70737-5017 | 2014-07-29 |
| 1144541145 | Anne Marie Baylis | Physician Assistant | 126 5th St, Gonzales, CA 93926 | 2010-06-14 |
| 1881848877 | Claire Allain Drummond | Physician Assistant | 723 E Highway 30, Gonzales, LA 70737-4715 | 2008-11-04 |
| 1356355291 | Roger D Pittman | Physician Assistant | 133 Fourth Street, Gonzales, CA 93926-0646 | 2006-07-28 |
| 1851870679 | Alison Poandl | Physician Assistant | 850 5th St, Gonzales, CA 93926 | 2018-08-13 |
| 1306331814 | Jessica Brianne Dettman | Physician Assistant | 1023 W Highway 30, Gonzales, LA 70737-5002 | 2018-06-27 |
| 1477080869 | Matthew Sims Fiess | Physician Assistant | 850 5th St, Gonzales, CA 93926-9491 | 2017-05-16 |
| 1558789966 | Jill Ashley Elliott | Physician Assistant | 228 Saint George St, Gonzales, TX 78629-3910 | 2014-04-02 |
| 1760748131 | Laura Frances Black | Physician Assistant | 2647 S Saint Elizabeth Blvd, Gonzales, Gonzales, LA 70737-5021 | 2012-04-10 |
| 1366745283 | Nicole Gaudet Buuck | Physician Assistant | 1125 W Highway 30, Gonzales, LA 70737-5004 | 2010-12-15 |
| Find all providers in GONZALES | ||||
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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.