NEELY PRIMARY (NPI# 1487264594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487264594 |
| Entity Type | Organization |
| Organization Name | NEELY PRIMARY |
| Practice Address |
102 Independence Blvd Lafayette LA 70506-6085 |
| Mailing Address |
112 Kellogg Ave Lafayette LA 70506-6280 |
| Practice Telephone | 3372778345 |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2020-08-04 |
| Authorized Official Name | ANGELA NEELY (OWNER) |
| Authorized Official Telephone | 3376684141 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
102 INDEPENDENCE BLVD |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-6085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215553359 | Sync Health LLC | Nurse Practitioner | 1300 Verot School Rd Ste D, Lafayette, LA 70508-5855 | 2020-06-24 |
| 1801422654 | Lindsay Spurgeon | Nurse Practitioner | 892 Belgian Ln, Lafayette, IN 47905-0794 | 2020-03-12 |
| 1033754692 | Harmony White | Nurse Practitioner | 1345 Unity Pl Ste 210, Lafayette, IN 47905-5762 | 2019-11-07 |
| 1962050591 | Stephanie Ching Wong | Nurse Practitioner | 1735 S Public Rd Ste 203, Lafayette, CO 80026-7093 | 2019-08-27 |
| 1407353543 | Dnprovider LLC | Nurse Practitioner | 312 Dunvegan Ct, Lafayette, LA 70503-6084 | 2018-04-06 |
| 1477065381 | Amber R Wattigny | Nurse Practitioner | 155 Hospital Dr Ste 100, Lafayette, LA 70503-2852 | 2017-11-01 |
| 1346765617 | Kristina Lynn Renfrow | Nurse Practitioner | 1345 Unity Pl Ste 310, Lafayette, IN 47905-5769 | 2017-08-08 |
| 1578086484 | Melissa Ann Donahue | Nurse Practitioner | 3900 St Francis Way Ste 220, Lafayette, IN 47905-4925 | 2017-07-23 |
| 1063944064 | Margaret Jordan Trawick | Nurse Practitioner | 110 Levison Way, Lafayette, LA 70508-7094 | 2017-03-29 |
| 1467995613 | Osarugue Grace Richards | Nurse Practitioner | 209 College Street, Lafayette, TN 37083 | 2016-11-21 |
| Find all providers in LAFAYETTE | ||||
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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.