CARLA CUNNINGHAM TYNES (NPI# 1568074565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568074565 |
| Entity Type | Individual |
| Full Name | CARLA CUNNINGHAM TYNES |
| Credential | RN |
| Practice Address |
460 Ashley Ridge Blvd Ste 500 Shreveport LA 71106-7238 |
| Practice Telephone | 3188208078 |
| Mailing Telephone | 3188208078 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
RN037324 | LA | Nursing Service Providers |
| Street Address |
460 ASHLEY RIDGE BLVD STE 500 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-7238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205022647 | Jct Medical Consulting | Clinic/Center | 460 Ashley Ridge Blvd Ste 500, Shreveport, LA 71106-7228 | 2007-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427511864 | Jayla Danielle Washington | Registered Nurse | 5605 Winder Cir E, Shreveport, LA 71129-4017 | 2019-04-11 |
| 1760991061 | Elizabeth Rothell Cooper | Registered Nurse | 4335 Richmond Ave, Shreveport, LA 71106-1417 | 2017-09-29 |
| 1396118634 | Darica Green | Registered Nurse | 9730 Baird Rd Apt 1421, Shreveport, LA 71118-3822 | 2015-11-09 |
| 1992953343 | Victor Veron Manning | Registered Nurse | 9414 Ashmont St, Shreveport, LA 71129-4830 | 2008-08-28 |
| 1558520593 | Mary Jane Cady | Registered Nurse | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2008-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134756083 | Madisonne Louise Meredith | Registered Nurse | 7014 Saint Charles Ave Apt G, New Orleans, LA 70118-3546 | 2020-03-23 |
| 1255966404 | Jennifer Fitzsimons | Registered Nurse | 72233 Fitzsimons Rd, Covington, LA 70433-7113 | 2020-03-09 |
| 1063078848 | Brent Cashio | Registered Nurse | 8801 Bocage Pl, River Ridge, LA 70123-2703 | 2019-05-16 |
| 1215442751 | Emily Everson Smith | Registered Nurse | 1014 Mcbeth Ct, Slidell, LA 70461-4535 | 2017-12-06 |
| 1467966465 | Emily Dejohn | Registered Nurse | 147 Woodside Dr, Mandeville, LA 70448-3536 | 2017-11-29 |
| 1902316763 | Hospice of Acadiana, Inc. | Registered Nurse | 2600 Johnston St Ste 200, Lafayette, LA 70503-3269 | 2017-10-06 |
| 1104054410 | Kent Joseph Fairchild | Registered Nurse | 19 Madera Ct, Kenner, LA 70065-3140 | 2009-06-24 |
| 1730186164 | Charlene Jones | Registered Nurse | 2012 Easter Ln, New Orleans, LA 70114-3418 | 2005-06-30 |
| 1619505419 | Kayla Gonzalez | Registered Nurse | 180 W Esplanade Ave, Kenner, LA 70065-2467 | 2020-03-29 |
| 1891287991 | Laura Marciante Berger | Registered Nurse | 1415 Tulane Ave, New Orleans, LA 70112-2600 | 2018-06-04 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
Please comment or provide details below to improve the information on CARLA CUNNINGHAM TYNES.
| 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.