THERESA FREDERICK BODKER (NPI# 1629358866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629358866 |
Entity Type | Individual |
Full Name | THERESA FREDERICK BODKER |
Credential | APRN |
Practice Address |
1211 Coolidge Blvd Suite 100 Lafayette LA 70503-2636 |
Mailing Address |
Po Box 62600 New Orleans LA 70162-2600 |
Practice Telephone | 3372898400 |
Practice Fax Number | 3372898401 |
Mailing Telephone | 3377061506 |
Mailing Fax Number | 3379819257 |
Enumeration Date | 2011-08-19 |
Last Update Date | 2012-04-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364S00000X | Clinical Nurse Specialist | AP01091 | LA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1211 COOLIDGE BLVD SUITE 100 |
City | LAFAYETTE |
State | LA |
Zip Code | 70503-2636 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588662670 | Bryan G. Sibley | Pediatrics | 1211 Coolidge Blvd, Suite 300, Lafayette, LA 70503-2636 | 2005-07-12 |
1740672872 | Jacob R Karr, Md, LLC | Specialist | 1211 Coolidge Blvd, Suite 303, Lafayette, LA 70503-2636 | 2015-02-26 |
1780075200 | Acadiana Ob/gyn, LLC | Obstetrics & Gynecology | 1211 Coolidge Blvd, Ste 403, Lafayette, LA 70503-2636 | 2015-02-06 |
1255742656 | Jamie Stephenson | Nurse Practitioner | 1211 Coolidge Blvd, Lafayette, LA 70503-2636 | 2014-05-19 |
1356768964 | Eric P. Trawick, Md, LLC | Specialist | 1211 Coolidge Blvd, Suite 303, Lafayette, LA 70503-2636 | 2014-03-20 |
1891123402 | Gastroenterology Associates of Acadiana, LLC | Clinical Medical Laboratory | 1211 Coolidge Blvd, Suite 303-b, Lafayette, LA 70503-2636 | 2013-10-16 |
1164859047 | Damon T Cudihy Md LLC | Specialist | 1211 Coolidge Blvd, Ste 403, Lafayette, LA 70503-2636 | 2013-10-09 |
1295010288 | Allison Devalcourt Bertrand | Nurse Practitioner | 1211 Coolidge Blvd, Lafayette, LA 70503-2636 | 2011-10-21 |
1376828202 | Lafayette General Endoscopy Center, Inc. | Nurse Anesthetist, Certified Registered | 1211 Coolidge Blvd, Suite 302, Lafayette, LA 70503-2636 | 2011-10-11 |
1992088454 | Jenny Prejean | Specialist | 1211 Coolidge Blvd, Ste 100, Lafayette, LA 70503-2636 | 2011-09-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962024620 | The Carpenter Center for Palliative Medicine of Lafayette, LLC | General Acute Care Hospital | 923 West Pinhook Road, Lafayette, LA 70503 | 2020-05-15 |
1326679143 | Elisabeth Robertson | Speech-Language Pathologist | 227b Bendel Rd., Ste. C, Lafayette, LA 70503 | 2020-01-30 |
1497391973 | Solvet Services LLC | Durable Medical Equipment & Medical Supplies | 345 Doucet Rd., Suite 212, Lafayette, LA 70503 | 2019-11-20 |
1023654712 | Louisiana Cardiac Vascular and Pulmonary Rehab LLC | Registered Nurse | 2701 Johnston Street, Ste 100, Lafayette, LA 70503 | 2019-11-18 |
1972147346 | Ryan Christopher Winters | Counselor | 143 Ridgeway Dr., Lafayette, LA 70503 | 2019-10-29 |
1861046112 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1213 Coolidge Street, Lafayette, LA 70503 | 2019-07-25 |
1770041295 | Karen R Rue | Registered Nurse | 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 | 2019-03-04 |
1235601766 | Frances Chauvin, Dds, LLC | Dentist | 229 Bendel Rd., Lafayette, LA 70503 | 2018-12-21 |
1710456116 | Affordable Caregivers, Inc. | In Home Supportive Care | 515 South College Rd., Suite 125, Lafeyette, LA 70503 | 2018-11-15 |
1366911778 | Taylor Callais-rusich | Counselor | 142 Ridgeway Dr., 201, Lafayette, LA 70503 | 2018-11-14 |
Find all providers in zip 70503 |
Taxonomy Code | 364S00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902864036 | Karen E. Hughes | Clinical Nurse Specialist | 1345 Unity Pl Ste 135, Lafayette, IN 47905 | 2006-05-01 |
1467435347 | Bonnie A Wilensky | Clinical Nurse Specialist | 1000 W South Boulder Rd Ste 110, Lafayette, CO 80026-2753 | 2005-11-23 |
1144223207 | Louise D Frederick | Clinical Nurse Specialist | 441 Heymann Blvd, Lafayette, LA 70503-2611 | 2005-05-23 |
1518592278 | Ivy Rynearson | Clinical Nurse Specialist | 1345 Unity Pl Ste 355, Lafayette, IN 47905-5761 | 2020-03-03 |
1689004962 | Melanie Braswell | Clinical Nurse Specialist | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2013-11-22 |
1225129075 | Taunya A Rapisarda | Clinical Nurse Specialist | 3660 Rome Dr, Lafayette, IN 47905-4488 | 2006-09-27 |
1649283854 | Lisa E Mischke | Clinical Nurse Specialist | 280 Exempla Cir, Kp Cardiology First Floor, Lafayette, CO 80026-3370 | 2006-08-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225323819 | Tyler K. Bartley | Clinical Nurse Specialist | 2025 Gravier Street, New Orleans, LA 70112-2269 | 2011-06-13 |
1114126240 | Laverne D Williams | Clinical Nurse Specialist | 2021 Perdido Street, New Orleans, LA 70112 | 2007-07-18 |
1942291828 | Barbara W Marley | Clinical Nurse Specialist | 111 E 5th St, Room 212, Natchitoches, LA 71457-5724 | 2005-10-31 |
1588666762 | Lori Quinn-tate | Clinical Nurse Specialist | 1 Galleria Blvd # 1420, Metairie, LA 70001-2082 | 2005-06-01 |
1396094405 | Julie M. Castex | Clinical Nurse Specialist | 1514 Jefferson Highway, New Orleans, LA 70121-2429 | 2012-09-05 |
1487946653 | Rosa M Bustamante-forest | Clinical Nurse Specialist | 2021 Perdido Street, New Orleans, LA 70112 | 2011-05-06 |
1962707786 | Deborah Ann Bourgeois | Clinical Nurse Specialist | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2011-01-26 |
1659593853 | Coletha Riley | Clinical Nurse Specialist | 1541 Tulane Ave, Rm 505, New Orleans, LA 70112-2821 | 2007-05-03 |
1326150905 | Germaine E Wall | Clinical Nurse Specialist | 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810-7827 | 2006-08-31 |
1972564755 | Florencetta H Gibson | Clinical Nurse Specialist | 300 Washington St, Suite 208, Monroe, LA 71201-6714 | 2006-03-31 |
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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.