CAROLYNE ADHIAMBO REDDING (NPI# 1619476595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619476595 |
Entity Type | Individual |
Full Name | CAROLYNE ADHIAMBO REDDING |
Credential | NURSE PRACTITIONER |
Practice Address |
7505 Pines Rd Ste 1235 Shreveport LA 71129-3900 |
Mailing Address |
7603 Mary Ann Cir Shreveport LA 71107-8879 |
Practice Telephone | 2259329150 |
Mailing Telephone | 3185530102 |
Enumeration Date | 2018-02-06 |
Last Update Date | 2018-02-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
AP09548 | LA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
7505 PINES RD STE 1235 |
City | SHREVEPORT |
State | LA |
Zip Code | 71129-3900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255843801 | Jennifer Michelle Middleton | Nurse Practitioner | 7505 Pines Rd Ste 1235, Shreveport, LA 71129-3900 | 2017-11-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184241739 | D&d Transportation Agency LLC | Non-emergency Medical Transport (VAN) | 6171 Bert Kouns Industrial Loop, Apt D100, Shreveport, LA 71129 | 2020-06-30 |
1013407006 | Kimron Smith | Counselor | 7550 Pines Road Suite 1115, Shreveport, LA 71129 | 2018-05-15 |
1801383518 | Latarsha Parker | Counselor | 6009 Financial Plaza, Suite 105, Shreveport, LA 71129 | 2018-04-18 |
1003317652 | Demarkus Webb | Case Manager/Care Coordinator | 6117 Newton Abbott Dr, Shreveport, LA 71129 | 2018-02-27 |
1073024014 | Charnita Thomas | Case Manager/Care Coordinator | 5610 Buncombe Rd Apt 504, Shreveport, LA 71129 | 2017-10-17 |
1578073334 | Keyon Williams | Counselor | 7000 Red Fox Trail, Shreveport, Shreveport, LA 71129 | 2017-10-06 |
1689193765 | Beranna R Smith | Physical Therapy Assistant | 8186 Dance Dr., Shreveport, LA 71129 | 2017-09-11 |
1699204982 | Bac Foundation | Community/Behavioral Health | 8500 Pines Rd 19, Shrevepot, LA 71129 | 2017-06-08 |
1407381973 | Dominique Stevenson | Specialist | 6800 Rasberry Lane Apt.1901, Shreveport, LA 71129 | 2017-04-21 |
1538692496 | Dale Smith | Counselor | 5925 Dexter Pl, Shreveport, LA 71129 | 2017-04-07 |
Find all providers in zip 71129 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780237701 | Mary Inman | Nurse Practitioner | 1449 E Bert Koun Loop Ste 100, Shreveport, LA 71105-5680 | 2019-07-18 |
1255843801 | Jennifer Michelle Middleton | Nurse Practitioner | 7505 Pines Rd Ste 1235, Shreveport, LA 71129-3900 | 2017-11-03 |
1114449071 | Aaron Stigers | Nurse Practitioner | 2551 Greenwood Rd Ste 220, Shreveport, LA 71103-3985 | 2017-07-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063061950 | Jodie Diane Harrison | Nurse Practitioner | 1120 Robert Blvd Ste 200, Slidell, LA 70458-2069 | 2019-09-04 |
1376195271 | Michelle Elaine Johnson Orgeron | Nurse Practitioner | 226 Bouverans Cir, Lockport, LA 70374-3114 | 2019-07-10 |
1477927689 | Alanna Denise Hebert | Nurse Practitioner | 1366 Mamou Prairie Rd, Basile, LA 70515-3939 | 2015-11-26 |
1861645616 | Sonya Renee Pittman | Nurse Practitioner | 4426 S Carrollton Ave, New Orleans, LA 70119 | 2008-10-24 |
1699744664 | Northlake Rehab Professionals | Nurse Practitioner | 2101 Robin Ave, Hammond, LA 70403-5772 | 2006-03-14 |
1992700272 | Maureen Adrian Poe | Nurse Practitioner | 1204 W Prien Lake Rd, Lake Charles, LA 70601-8371 | 2005-06-14 |
1619595634 | Marguerita M Griffin | Nurse Practitioner | 2503 Broadmoor Blvd, Monroe, LA 71201-2987 | 2020-07-07 |
1225665417 | Jacob Robert Rickoll | Nurse Practitioner | 1631 Elysian Fields Ave, New Orleans, LA 70117-8208 | 2020-03-26 |
1447882162 | Kristen M. Hill | Nurse Practitioner | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2020-02-11 |
1992366538 | Amy Lynn Paris | Nurse Practitioner | 503 Mcmillan Rd, West Monroe, LA 71291-5327 | 2019-06-25 |
Find all providers with the same taxonomy |
City | SHREVEPORT |
Zip Code | 71129 |
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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.