KEONDRA PREVOST (NPI# 1700483609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700483609 |
Entity Type | Individual |
Full Name | KEONDRA PREVOST |
Credential | HAIR LOSS SPECIALIST |
Practice Address |
3357 Whisper Ln Gretna LA 70056-7788 |
Practice Telephone | 9852157201 |
Mailing Telephone | 9852157201 |
Enumeration Date | 2020-10-04 |
Last Update Date | 2020-10-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
LA | Other Service Providers |
Street Address |
3357 WHISPER LN |
City | GRETNA |
State | LA |
Zip Code | 70056-7788 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023634169 | Krewe Wellness | Counselor | 2112 Belle Chasse Hwy Ste 8, #156, Gretna, LA 70056 | 2020-06-24 |
1205459732 | Gulf Coast Medical Specialists LLC | Internal Medicine | 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 | 2020-05-19 |
1427530872 | Anna Marie Mckeon Jr. | Social Worker | 410 W. Butterfly Circle, Terrytown, LA 70056 | 2018-09-02 |
1558843219 | Nikell Thompson Fortia | Non-emergency Medical Transport (VAN) | 561 Morningside Dr, Gretna, LA 70056 | 2018-08-29 |
1861979379 | Irajuan L Cooley | Case Manager/Care Coordinator | 1620 Carol Sue Ave Apt 219, Gretna, LA 70056 | 2018-07-26 |
1457842528 | Veronica Stevenson | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 4a, Terrytown, LA 70056 | 2018-05-24 |
1184126278 | Elesha Loston | Case Manager/Care Coordinator | 1799 Stumpf Blvd. Bldg .7 Suite 9a, Gretna, LA 70056 | 2018-03-05 |
1336656149 | Porsha D Causey | Counselor | 1799 Stumpf Blvd Bldg 7 Ste 10, Ste 10, Gretna, LA 70056 | 2018-01-02 |
1265950745 | Tamika Nicole Deville | Counselor | Advanced Therapeutic, 1799 Stumpf Blvd Bld 3 Ste 4b, Terrytown, LA 70056 | 2017-09-05 |
1679098792 | Clear Head Inc | Clinic/Center | 2310 Park Place Dr., Terrytown, LA 70056 | 2017-08-09 |
Find all providers in zip 70056 |
Taxonomy Code | 1744P3200X |
Grouping | Other Service Providers |
Classification | Specialist |
Specialization | Prosthetics Case Management |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720592769 | Danna M Gary | Specialist | 1132 Franklin Ave, Gretna, LA 70053-2313 | 2017-11-29 |
1902356983 | Gwendolyn Cook | Specialist | 720 Magellan St, Gretna, LA 70053-2035 | 2016-10-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528693736 | Crystal Leblanc | Specialist | 810 Oneal Ln, Baton Rouge, LA 70816-1805 | 2020-03-09 |
1518500255 | Extensions & Flow Salon | Specialist | 561 Phyllis Dr, Westwego, LA 70094-2927 | 2019-10-25 |
1811542830 | Trenisha Bonton | Specialist | 9626 Airline Hwy Ste 202, Baton Rouge, LA 70815-5564 | 2019-08-06 |
1871146605 | Pamela Denise Haynes | Specialist | 116 Maryland St, Hammond, LA 70403-3948 | 2019-07-21 |
1639634686 | Tammy Ledet Guillory | Specialist | 1323 12th St, Lake Charles, LA 70601-6377 | 2019-02-04 |
1245714997 | Jaleesa Chantell Carprue | Specialist | 5000 Forsythe Byp Ste 114, Monroe, LA 71201-2168 | 2018-09-19 |
1598246670 | Athan Joseph Jefferson | Specialist | 1097 S Flannery Rd, Baton Rouge, LA 70815-6920 | 2018-08-27 |
1548764996 | Latousha Dorsey | Specialist | 2310 Riverwood Dr Ste C, Bossier City, LA 71111-3498 | 2018-03-21 |
1407350812 | Marquita Henderson | Specialist | 1101 Gooseberry Hl, Shreveport, LA 71118-3508 | 2018-03-20 |
1750883880 | National Hair Loss Foundation | Specialist | 3570 Holiday Dr Ste 8, New Orleans, LA 70114-8287 | 2018-03-05 |
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.