CYNTHIA JOINER TILLMAN (NPI# 1558630236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558630236 |
| Entity Type | Individual |
| Full Name | CYNTHIA JOINER TILLMAN |
| Credential | FNP |
| Practice Address |
501 Lapalco Blvd Jencare Neighborhood Medical Center Wb, LLC Gretna LA 70056 |
| Practice Telephone | 5043934376 |
| Practice Fax Number | 5043934381 |
| Mailing Telephone | 5043934376 |
| Mailing Fax Number | 5043934381 |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2015-05-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP06704 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
501 LAPALCO BLVD JENCARE NEIGHBORHOOD MEDICAL CENTER WB, LLC |
| City | GRETNA |
| State | LA |
| Zip Code | 70056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558572446 | Kendria E. Holt-rogers | Internal Medicine | 501 Lapalco Blvd, Gretna, LA 70056-7336 | 2007-05-24 |
| 1104377555 | Sereen Askar | Nurse Practitioner | 501 Lapalco Blvd, Gretna, LA 70056 | 2016-10-20 |
| 1588924435 | Jencare Neighborhood Medical Center Wb, LLC | Non-Pharmacy Dispensing Site | 501 Lapalco Blvd, Gretna, LA 70056-7304 | 2012-05-25 |
| 1598031122 | Latoya Denise Fulton | Family Medicine | 501 Lapalco Blvd, Gretna, LA 70056-7336 | 2012-03-28 |
| 1346516333 | Scott Martin | Internal Medicine | 501 Lapalco Blvd, Jencare Neighborhood Medical Center Wb, LLC, Gretna, LA 70056 | 2012-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634169 | Krewe Wellness | Counselor | 2112 Belle Chasse Hwy Ste 8, #156, Gretna, LA 70056 | 2020-06-24 |
| 1205459732 | Gulf Coast Medical Specialists LLC | Internal Medicine | 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 | 2020-05-19 |
| 1427530872 | Anna Marie Mckeon Jr. | Social Worker | 410 W. Butterfly Circle, Terrytown, LA 70056 | 2018-09-02 |
| 1558843219 | Nikell Thompson Fortia | Non-emergency Medical Transport (VAN) | 561 Morningside Dr, Gretna, LA 70056 | 2018-08-29 |
| 1861979379 | Irajuan L Cooley | Case Manager/Care Coordinator | 1620 Carol Sue Ave Apt 219, Gretna, LA 70056 | 2018-07-26 |
| 1457842528 | Veronica Stevenson | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 4a, Terrytown, LA 70056 | 2018-05-24 |
| 1184126278 | Elesha Loston | Case Manager/Care Coordinator | 1799 Stumpf Blvd. Bldg .7 Suite 9a, Gretna, LA 70056 | 2018-03-05 |
| 1336656149 | Porsha D Causey | Counselor | 1799 Stumpf Blvd Bldg 7 Ste 10, Ste 10, Gretna, LA 70056 | 2018-01-02 |
| 1265950745 | Tamika Nicole Deville | Counselor | Advanced Therapeutic, 1799 Stumpf Blvd Bld 3 Ste 4b, Terrytown, LA 70056 | 2017-09-05 |
| 1679098792 | Clear Head Inc | Clinic/Center | 2310 Park Place Dr., Terrytown, LA 70056 | 2017-08-09 |
| Find all providers in zip 70056 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124565510 | Brandee Bocage | Nurse Practitioner | 919 Milton St, Gretna, LA 70053-3416 | 2017-01-24 |
| 1285185462 | Shemika Bradford | Nurse Practitioner | 822 Bellemeade Blvd, Gretna, LA 70056-7634 | 2016-10-21 |
| 1437603396 | Joseph Rollins | Nurse Practitioner | 232 Brett Dr, Gretna, LA 70056-7212 | 2016-08-09 |
| 1770957995 | Tracy Overstreet Garrett | Nurse Practitioner | 291 Mcbride Lane, Gretna, VA 24557-0000 | 2015-11-27 |
| 1104220938 | C & D Total Health Care, LLC | Nurse Practitioner | 1417 Drake Ln, Gretna, LA 70056-7784 | 2014-10-22 |
| 1205269958 | Maria Elisa Rocha | Nurse Practitioner | 409 Cherrywood Dr, Gretna, LA 70056-7710 | 2013-08-16 |
| 1407296767 | Kia Renee Golden | Nurse Practitioner | 1141 Whitney Ave Ste 4, Gretna, LA 70056-5009 | 2013-07-01 |
| 1184999617 | Constance Parker Bonnet | Nurse Practitioner | 217 Louise Ct, Gretna, LA 70056-7857 | 2012-03-16 |
| 1376811067 | Bridgette Stewart Johnson | Nurse Practitioner | 837 Oakwood Dr, Gretna, LA 70056-4510 | 2011-12-08 |
| 1568771178 | Rachel Colvin | Nurse Practitioner | 3508 Lake Kristin Dr, Gretna, LA 70056-8345 | 2010-09-29 |
| Find all providers in GRETNA | ||||
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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.