ANDREA D COTHERN (NPI# 1710042122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710042122 |
Entity Type | Individual |
Full Name | ANDREA D COTHERN |
Credential | NP |
Practice Address |
3401 North Blvd Suite 200 Baton Rouge LA 70806-3726 |
Mailing Address |
9001 Summa Avenue Baton Rouge LA 70809-3726 |
Practice Telephone | 2253363100 |
Practice Fax Number | 2253363114 |
Mailing Telephone | 2257615200 |
Enumeration Date | 2006-12-26 |
Last Update Date | 2007-12-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WG0000X |
Registered Nurse Specialization: General Practice |
AP04318 | LA | Nursing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1467804 | 05 |
Street Address |
3401 NORTH BLVD SUITE 200 |
City | BATON ROUGE |
State | LA |
Zip Code | 70806-3726 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215934740 | Peter James Bostick | Surgery | 3401 North Blvd, Ste 330, Baton Rouge, LA 70806 | 2005-06-30 |
1841752250 | Julissa Placencio | Student in an Organized Health Care Education/Training Program | 3401 North Blvd, Baton Rouge, LA 70806-3743 | 2019-04-03 |
1871027870 | Cassandra Barnes | Family Medicine | 3401 North Blvd, Ste 200, Baton Rouge, LA 70806-3743 | 2017-04-17 |
1528439130 | Mayo Health Systems, Inc | Clinic/Center | 3401 North Blvd, Suite 410, Baton Rouge, LA 70806-3743 | 2015-10-08 |
1538587134 | Baton Rouge General Physicians, Inc | Family Medicine | 3401 North Blvd, Suite #200-a, Baton Rouge, LA 70806-3743 | 2014-04-01 |
1851719652 | Robreka King | Clinical Nurse Specialist | 3401 North Blvd, Suite #200-b, Baton Rouge, LA 70806-3743 | 2014-03-31 |
1801219043 | Baton Rouge General Physicians, Inc. | Nurse Practitioner | 3401 North Blvd, Suite #200a, Baton Rouge, LA 70806-3743 | 2014-01-23 |
1073861357 | Infectious Diseases Consultants, LLC | Clinic/Center | 3401 North Blvd, Suite 335, Baton Rouge, LA 70806-3743 | 2012-08-17 |
1285993170 | Baton Rouge General Physicians Hospital Specialists | Pediatrics | 3401 North Blvd, Baton Rouge, LA 70806-3743 | 2012-05-11 |
1467739789 | Lc Internal Medicine Clinic LLC | Internal Medicine | 3401 North Blvd, Suite 360, Baton Rouge, LA 70806-3743 | 2011-11-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
Find all providers in zip 70806 |
Taxonomy Code | 163WG0000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528669306 | Dosha Nicole Banguel | Registered Nurse | 11758 S Harrells Ferry Rd Ste B, Baton Rouge, LA 70816-2365 | 2020-11-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033694955 | Dedra Williams | Registered Nurse | 1325 Wright Ave Ste E, Crowley, LA 70526-2226 | 2018-09-26 |
1477045227 | Lois Jean Gutierrez I | Registered Nurse | 13 Wisteria Pl, Marrero, LA 70072-2426 | 2018-06-06 |
1144712910 | Joal Jeanette Sanders | Registered Nurse | 1817 Lafitte St, New Orleans, LA 70112-3627 | 2018-06-06 |
1427564137 | Alfred E Williams | Registered Nurse | 3546 Rue Colette, New Orleans, LA 70131-5431 | 2017-12-18 |
1487169678 | Chancelyn Penn | Registered Nurse | 607 Gaudet Dr, Marrero, LA 70072-2228 | 2017-12-10 |
1942714324 | Varaka Neshea Rhone | Registered Nurse | 10003 Carlsbad Dr, Shreveport, LA 71115-3424 | 2017-11-21 |
1700309721 | Tonyell Lebeau Woodridge | Registered Nurse | 40435 Augustin Ave, Prairieville, LA 70769-5868 | 2017-07-21 |
1750810529 | Catina Gordon-oates | Registered Nurse | 645 Oleander Ln, Westwego, LA 70094-5722 | 2017-06-06 |
1558624114 | Alicia Ann Barthe'-prevost | Registered Nurse | 1833 Kabel Dr, New Orleans, LA 70131-5205 | 2012-06-19 |
1245543768 | Katie Ann Kimpel | Registered Nurse | 415 Saint Clair Rd Ste B, Boyce, LA 71409 | 2010-07-26 |
Find all providers with the same taxonomy |
City | BATON ROUGE |
Zip Code | 70806 |
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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.