GARRETT RILEY BUNNELL (NPI# 1578120069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578120069 |
| Entity Type | Individual |
| Full Name | GARRETT RILEY BUNNELL |
| Credential | PNP |
| Practice Address |
1430 Lindberg Dr Slidell LA 70458-8056 |
| Mailing Address |
59101 Amber St Slidell LA 70461-3708 |
| Practice Telephone | 9857817337 |
| Practice Fax Number | 8447433349 |
| Mailing Telephone | 9856461580 |
| Mailing Fax Number | 8888634274 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
202909 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | LOUISIANA BOARD OF NURSING | 202909 | 01 |
| Street Address |
1430 LINDBERG DR |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-8056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508863002 | Eduardo J Hernandez | Pediatrics | 1430 Lindberg Dr, Slidell, LA 70458-8056 | 2005-06-30 |
| 1447898333 | Ci Pediatrics, LLC | Pediatrics | 1430 Lindberg Dr, Slidell, LA 70458-8056 | 2019-12-11 |
| 1467012476 | Alicia Richard Quirk | Nurse Practitioner | 1430 Lindberg Dr, Slidell, LA 70458-8056 | 2019-06-20 |
| 1467983361 | Children's International, LLC | Clinic/Center | 1430 Lindberg Dr, Slidell, LA 70458-8056 | 2017-03-22 |
| 1558653915 | Uyen D Nguyen | Pediatrics | 1430 Lindberg Dr, Slidell, LA 70458-8056 | 2011-05-04 |
| 1073620498 | Children's International L.L.C. | Pediatrics | 1430 Lindberg Dr, Slidell, LA 70458-8056 | 2006-08-23 |
| 1548284870 | Ella D. Wilson | Nurse Practitioner | 1430 Lindberg Dr, Slidell, LA 70458-8056 | 2006-07-27 |
| 1477572543 | Cornel Joseph Jeansonne | Pediatrics | 1430 Lindberg Dr, Slidell, LA 70458-8056 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
| Find all providers in zip 70458 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477118065 | Erin L Hurt | Nurse Practitioner | 59101 Amber St, Slidell, LA 70461-3708 | 2019-05-08 |
| 1336463702 | Kristi L Leblanc | Nurse Practitioner | 310 Gateway Dr, Suite B, Slidell, LA 70461-5540 | 2010-03-15 |
| 1124491485 | Ks Family Medical Clinic | Nurse Practitioner | 550 Brownswitch Rd, Slidell, LA 70458-1104 | 2015-11-09 |
| 1497154900 | Leslie Renae Cook | Nurse Practitioner | 1001 Florida Ave, Slidell, LA 70458 | 2014-08-20 |
| 1083999064 | Lauren Zebrowski Davis | Nurse Practitioner | 310 Gateway Dr Ste B, Slidell, LA 70461-5540 | 2011-10-20 |
| 1013189125 | Jeanne Bienvenu Dakin | Nurse Practitioner | 100 Medical Center Dr, Slidell, LA 70461-5520 | 2008-03-28 |
| 1427182534 | Christina Heller Foret | Nurse Practitioner | 2364 Gause Blvd E, Suite 101, Slidell, LA 70461-5540 | 2007-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138473 | Nickolas Matthews | Nurse Practitioner | 1307 Crowley Rayne Hwy Ste B, Crowley, LA 70526-8210 | 2020-09-14 |
| 1841809258 | Brandi Schwab | Nurse Practitioner | 157 Belington Ave, Madisonville, LA 70447-9109 | 2020-07-31 |
| 1780293878 | Cornerstone Childrens Clinic LLC | Nurse Practitioner | 44546 S Airport Rd Ste F, Hammond, LA 70403-0312 | 2020-07-24 |
| 1629691530 | Bayou Pediatrics | Nurse Practitioner | 2649 Arkansas Rd, West Monroe, LA 71291-8617 | 2020-05-27 |
| 1295376374 | Tatjana Michele Mimes | Nurse Practitioner | 3975 I 49 S Service Rd Ste 201, Opelousas, LA 70570-0775 | 2019-09-30 |
| 1063067411 | Arwa Mohammed Mohammed | Nurse Practitioner | 101 Medical Park Blvd Ste A, Pineville, LA 71360-8426 | 2019-08-02 |
| 1033679501 | Laura Elizabeth Williamson | Nurse Practitioner | 501 Medical Center Dr Ste 100, Alexandria, LA 71301-8124 | 2019-03-21 |
| 1043703010 | Samantha Lee Lovecchio | Nurse Practitioner | 120 Ochsner Blvd Ste 245, Gretna, LA 70056-5280 | 2018-06-13 |
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| 1639617103 | Lil Sprouts Pediatrics & Family Clinic LLC | Nurse Practitioner | 4624 Cypress St, Suite 6&7, West Monroe, LA 71291-1348 | 2017-02-05 |
| Find all providers with the same taxonomy | ||||
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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.