DE SHON BERRY (NPI# 1508103599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508103599 |
| Entity Type | Individual |
| Full Name | DE SHON BERRY |
| Practice Address |
3715 Williams Blvd Suite 105 Kenner LA 70065-3075 |
| Practice Telephone | 5043394801 |
| Mailing Telephone | 5043394801 |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2013-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
3715 WILLIAMS BLVD SUITE 105 |
| City | KENNER |
| State | LA |
| Zip Code | 70065-3075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386718153 | Anthonia N. Imudia | Nurse Practitioner | 3715 Williams Blvd, Suite 100, Kenner, LA 70065-3075 | 2006-11-20 |
| 1457802332 | Marillac Community Health Centers | Clinic/Center | 3715 Williams Blvd, Suite 220, Kenner, LA 70065-3075 | 2016-10-17 |
| 1932583291 | Oanh Nguyen | Physician Assistant | 3715 Williams Blvd, Suite #100, Kenner, LA 70065-3075 | 2015-07-16 |
| 1104210004 | Ndc II Child and Family Services LLC | Counselor | 3715 Williams Blvd, Suite 103, Kenner, LA 70065-3075 | 2015-03-27 |
| 1013307461 | Patricia Alexis Reed | Physician Assistant | 3715 Williams Blvd, Suite 100, Kenner, LA 70065-3075 | 2015-01-23 |
| 1831594241 | Marillac Community Health Centers | Family Medicine | 3715 Williams Blvd, Suite 220, Kenner, LA 70065-3075 | 2014-10-28 |
| 1487084216 | Michelda West | Nurse Practitioner | 3715 Williams Blvd, Ste. 100, Kenner, LA 70065-3075 | 2013-11-14 |
| 1861795874 | Marilyn Dale Dimarco | Nurse Practitioner | 3715 Williams Blvd, Suite 100, Kenner, LA 70065-3075 | 2010-12-13 |
| 1003138884 | Pathways Behavioral Center, LLC | Counselor | 3715 Williams Blvd, Suite 102, Kenner, LA 70065-3075 | 2010-02-22 |
| 1770755027 | Leading Edge Services International Inc | Community/Behavioral Health | 3715 Williams Blvd, Suite 100, Kenner, LA 70065-3075 | 2008-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689226946 | Silver Lining Dentistry & Co. | Clinic/Center | 2305 West Esplanade Suit U, Kenner, LA 70065 | 2019-07-16 |
| 1912462615 | Tamiqua Monique Torres | Lactation Consultant, Non-RN | 4129 Idaho Ave #a, Kenner, LA 70065 | 2019-02-06 |
| 1649766650 | Kenner Dental Associates, LLC | Dentist | 1501 32nd St., Kenner, LA 70065 | 2018-07-03 |
| 1194216465 | Shanne Gilbert | Technician, Pathology | Kenner Metairie and Surrounding Areas, Kenner, LA 70065 | 2018-05-23 |
| 1437668597 | Jbl Rx LLC | Pharmacy | 2305 West Esplanade Ave, Suite T, Kenner, LA 70065 | 2017-09-21 |
| 1073049532 | Jonathan English | Counselor | 3701 Tulane Dr, Kenner, LA 70065 | 2017-05-03 |
| 1033644752 | Fonteno Services LLC | Non-emergency Medical Transport (VAN) | 3017 Huntsville, St, Kenner, LA 70065 | 2017-05-01 |
| 1821521915 | Shondreca Nicole Sanders | Counselor | 4520 Williams Blvd, #y383, Kenner, LA 70065 | 2017-04-06 |
| 1225570104 | Dominiece Lacroix | Nurse Practitioner | 3616 Loyola Drive, 271, Kenner, LA 70065 | 2016-11-09 |
| 1427506286 | Lisandra Nunez | Counselor | 153 Auburn Pl, Kenner, LA 70065 | 2016-09-21 |
| Find all providers in zip 70065 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598382301 | Gracishone Larrian Floyd | Counselor | 2742 Augusta St, Kenner, LA 70062-5118 | 2020-06-26 |
| 1962973123 | Caroline Eliza Brock | Counselor | 1800 Williams Blvd, Kenner, LA 70062-8211 | 2018-12-16 |
| 1386130573 | Racquel Monique Wilson | Counselor | 2613 Decatur St, Kenner, LA 70062 | 2018-07-10 |
| 1841780590 | Preserving Human Dignity LLC | Counselor | 2002 20th St Ste A101, Kenner, LA 70062-4406 | 2018-05-17 |
| 1265944342 | Catherine Richard | Counselor | 2400 Veterans Memorial Blvd Ste 215, Kenner, LA 70062-8700 | 2017-10-30 |
| 1194235424 | Soledad Giron Morcos | Counselor | 3333 Tulane Dr, Kenner, LA 70065-4039 | 2017-09-29 |
| 1508385634 | Luby Vanessa Lopez | Counselor | 1808 Michigan Ave, Kenner, LA 70062-6022 | 2017-09-09 |
| 1689101453 | Trenese Ferguson | Counselor | 2735 Jasper St, Kenner, LA 70062 | 2017-05-11 |
| 1073049532 | Jonathan English | Counselor | 3701 Tulane Dr, Kenner, LA 70065 | 2017-05-03 |
| 1821521915 | Shondreca Nicole Sanders | Counselor | 4520 Williams Blvd, #y383, Kenner, LA 70065 | 2017-04-06 |
| Find all providers in KENNER | ||||
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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.