KATELYN PETITFILS JOUBERT (NPI# 1780210682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780210682 |
| Entity Type | Individual |
| Full Name | KATELYN PETITFILS JOUBERT |
| Credential | DO |
| Practice Address |
112 Soho Cir Lafayette LA 70508-4200 |
| Practice Telephone | 3373494616 |
| Mailing Telephone | 3373494616 |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2020-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
112 SOHO CIR |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831726082 | Alyse Meaux | Student in an Organized Health Care Education/Training Program | 99 Wentworth Blvd, Lafayette, LA 70508-4862 | 2020-03-26 |
| 1568098911 | Nathan Fletcher | Student in an Organized Health Care Education/Training Program | 3366 Mt Diablo Blvd # B404, Lafayette, CA 94549-4028 | 2020-03-18 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1194286955 | Christopher James Clark | Student in an Organized Health Care Education/Training Program | 2390 W Congress St # 2, Lafayette, LA 70506-4205 | 2019-03-26 |
| 1841759099 | Jeremy White | Student in an Organized Health Care Education/Training Program | 109 Adonis Dr, Lafayette, LA 70506-5402 | 2019-03-18 |
| 1225597446 | Kelsey Doguet | Student in an Organized Health Care Education/Training Program | 109 Saint Michael St, Lafayette, LA 70506-4743 | 2019-03-18 |
| 1841755824 | Madison Tilley | Student in an Organized Health Care Education/Training Program | 3661 Stonegate Ct, Lafayette, IN 47909-7212 | 2019-02-05 |
| 1114491685 | Mallory Mancuso | Student in an Organized Health Care Education/Training Program | 110 Lana Dr, Lafayette, LA 70503-4505 | 2019-01-17 |
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1588160451 | Maya Appley | Student in an Organized Health Care Education/Training Program | 323 Beverly Dr, Lafayette, LA 70503-3109 | 2018-04-01 |
| Find all providers in LAFAYETTE | ||||
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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.