MRS. DEMETRIA MILFORD RAVARE (NPI# 1558859892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558859892 |
| Entity Type | Individual |
| Full Name | MRS. DEMETRIA MILFORD RAVARE |
| Practice Address |
1403 Metro Dr Ste C1 Alexandria LA 71301-3446 |
| Practice Telephone | 3186257467 |
| Practice Fax Number | 3186257420 |
| Mailing Telephone | 3186257467 |
| Mailing Fax Number | 3186257420 |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
RN141179 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1403 METRO DR STE C1 |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301-3446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275639676 | Melinda Dee Rachal | Social Worker | 1403 Metro Dr Ste C1, Alexandria, LA 71301-3446 | 2006-09-15 |
| 1942807151 | Darrell O Woods | Case Manager/Care Coordinator | 1403 Metro Dr Ste C1, Alexandria, LA 71301-3446 | 2020-10-01 |
| 1720694284 | Korey Elise Brossett | Case Manager/Care Coordinator | 1403 Metro Dr Ste C1, Alexandria, LA 71301-3446 | 2020-09-21 |
| 1962029538 | Demi D Adams | Case Manager/Care Coordinator | 1403 Metro Dr Ste C1, Alexandria, LA 71301-3446 | 2020-06-30 |
| 1245856673 | Kristanna Lee | Case Manager/Care Coordinator | 1403 Metro Dr Ste C1, Alexandria, LA 71301-3446 | 2020-06-22 |
| 1326664756 | Carnell Johnson | Case Manager/Care Coordinator | 1403 Metro Dr Ste C1, Alexandria, LA 71301-3446 | 2020-06-22 |
| 1336788736 | Daidrion N Jason | Case Manager/Care Coordinator | 1403 Metro Dr Ste C1, Alexandria, LA 71301-3446 | 2020-01-02 |
| 1649819046 | Mable Williams | Case Manager/Care Coordinator | 1403 Metro Dr Ste C1, Alexandria, LA 71301-3446 | 2020-01-02 |
| 1992356661 | Patsy D White | Social Worker | 1403 Metro Dr Ste C1, Alexandria, LA 71301-3446 | 2019-09-24 |
| 1750948089 | Leann C Tellifero | Case Manager/Care Coordinator | 1403 Metro Dr Ste C1, Alexandria, LA 71301-3446 | 2019-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
| Find all providers in zip 71301 | ||||
| Taxonomy Code | 364SP0807X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| City | ALEXANDRIA |
| Zip Code | 71301 |
Please comment or provide details below to improve the information on MRS. DEMETRIA MILFORD RAVARE.
| 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.