MRS. MARY DIANE RABALAIS


Address: 4429 Clara St, Suite 640, New Orleans, LA 70115-6902
Phone: 5048429616

MRS. MARY DIANE RABALAIS (NPI# 1740622638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740622638
Entity Type Individual
Full Name MRS. MARY DIANE RABALAIS
Credential WHNP
Practice Address 4429 Clara St
Suite 640
New Orleans
LA 70115-6902
Mailing Address 39330 Babin Ln
Ponchatoula
LA 70454-4606
Practice Telephone 5048429616
Practice Fax Number 5048429621
Mailing Telephone 9853860973
Enumeration Date 2013-07-22
Last Update Date 2014-11-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
AP07283 LA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 03976556 05
LA 2374125 05

Office Location

Street Address 4429 CLARA ST
SUITE 640
City NEW ORLEANS
State LA
Zip Code 70115-6902

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902866106 Katherine M Swing Obstetrics & Gynecology 4429 Clara St, Suite 540, New Orleans, LA 70115-6902 2006-03-23
1912568791 Kai Elizabeth Capdau Physician Assistant 4429 Clara St, New Orleans, LA 70115 2019-06-24
1609323476 Sarah Lirette Soileau Nurse Practitioner 4429 Clara St, Mcfarland Medical Plaza Suite 600, New Orleans, LA 70115-6902 2016-09-08
1114345915 Amanda Cristine Henne Obstetrics & Gynecology 4429 Clara St, New Orleans, LA 70115 2014-03-31
1801231873 Jane Martin Obstetrics & Gynecology 4429 Clara St, New Orleans, LA 70115 2013-05-05
1801231246 Meghan E. Klavans Obstetrics & Gynecology 4429 Clara St, New Orleans, LA 70115-6902 2013-04-29
1356686786 Amanda G Gregoire Nurse Practitioner 4429 Clara St, Ste 340, New Orleans, LA 70115-6902 2012-12-12
1851659486 Marguerite Demarest Sandow Obstetrics & Gynecology 4429 Clara St, New Orleans, LA 70115-6902 2012-05-02
1811220825 Ochsner Clinic LLC General Practice 4429 Clara St, New Orleans, LA 70115-6902 2009-09-09
1457684466 Ochsner Clinic LLC General Practice 4429 Clara St, New Orleans, LA 70115-6902 2009-09-09
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063028223 Michael C O'hara Social Worker 2016 Jena Street, New Orleans, LA 70115 2020-09-22
1972156487 Allison Leigh Champagne Advanced Practice Midwife 4500 Clara St, New Orleans, LA 70115 2019-07-23
1558838151 Ouida Francis Forsyth Speech-Language Pathologist 3317 Chestnut Street, New Orleans, LA 70115 2018-11-01
1689149551 Uptown Pediatric Dentistry, LLC Dentist 3715 Prytania Street, Suite 380, New Orleans, LA 70115 2018-10-08
1396222188 Leggio Dental Group, Apdc Dentist 4914 Magazine St., New Orleans, LA 70115 2018-07-24
1093202525 Michael Anthony Bosco Physical Therapist 4500 Magazine St Ste 3, New Orleans, LA 70115 2018-04-19
1356854103 Jencare Neighborhood Medical Metairie, LLC. Non-Pharmacy Dispensing Site Jencare Neighborhood Medical Center Uptown, 2820 Napoleon Avenue, Suite 590, New Orleans, LA 70115 2017-11-14
1669907879 Quinton Franklin Counselor 2537 Marengo St, New Orleans, LA 70115 2017-04-25
1073050340 Katy Elizabeth Thomassie Case Manager/Care Coordinator 1033 Marengo St, New Orleans, LA 70115 2017-01-25
1386187979 John Perkins Case Manager/Care Coordinator 1926 Constantinople St., New Orleans, LA 70115 2016-11-30
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578720785 Tamla T Pierre Nurse Practitioner 6010 S Muirfield Cir, New Orleans, LA 70128-3655 2008-05-16
1013338094 Julia Siren Nurse Practitioner 517 N Rampart St, 4th Floor, New Orleans, LA 70112-3503 2013-12-18
1801982962 Lynette Mauterer Nurse Practitioner 1514 Jefferson Hwy., New Orleans, LA 70121 2006-10-05
1043252216 Chaniel Felica Age Nurse Practitioner 1020 Saint Andrew St, New Orleans, LA 70130-5022 2006-06-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093349078 Alysha Hinson Nurse Practitioner 1455 E Bert Kouns Industrial Loop Ste 306, Shreveport, LA 71105-5634 2020-02-27
1316591126 Heather Jaet Simon Nurse Practitioner 113 Brewster Rd, Madisonville, LA 70447-9579 2019-07-30
1396233078 Megan C Riley Nurse Practitioner 100 Womans Way Ste 407, Baton Rouge, LA 70817-5100 2018-04-27
1356759153 Mary Tillman Acosta Nurse Practitioner 8001 Youree Dr Ste 320, Shreveport, LA 71115-2354 2014-07-24
1710226204 Tara Rae Thompson Nurse Practitioner 5604 Coliseum Blvd Ste B, Alexandria, LA 71303-3993 2013-02-04
1942585591 Iph, Slidel LLC Nurse Practitioner 2364 Gause Blvd E Ste 101, Slidell, LA 70461-4141 2011-10-14
1265725402 Katherine Maranto Salley Nurse Practitioner 827 Margaret Pl, Suite 201, Shreveport, LA 71101-4523 2011-05-20
1225361827 Paulette Guidry Landry Nurse Practitioner U L Lafayette Student Health, 120 Boucher Dr., Lafayette, LA 70504-0001 2009-09-14
1467695700 Heather M Lenox Nurse Practitioner 4540 Amb Caffery Pkwy, Ste C 220, Lafayette, LA 70508-6928 2009-04-16
1447413828 Monica Valenti Smith Nurse Practitioner 806-b Riverside Drive, Franklinton, LA 70438-3688 2008-07-07
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Competitor

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City NEW ORLEANS
Zip Code 70115

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Dataset Information

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.

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