MARY INMAN (NPI# 1780237701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780237701 |
| Entity Type | Individual |
| Full Name | MARY INMAN |
| Credential | ACNPC-AG |
| Practice Address |
1449 E Bert Koun Loop Ste 100 Shreveport LA 71105-5680 |
| Practice Telephone | 3186290220 |
| Practice Fax Number | 3186290230 |
| Mailing Telephone | 3186290220 |
| Mailing Fax Number | 3186290230 |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
207290 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477980514 | Mary Elizabeth Inman | Registered Nurse | 6501 N. Sheridan Rd., Peoria, IL 61614 | 2013-10-03 |
| Street Address |
1449 E BERT KOUN LOOP STE 100 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255843801 | Jennifer Michelle Middleton | Nurse Practitioner | 7505 Pines Rd Ste 1235, Shreveport, LA 71129-3900 | 2017-11-03 |
| 1619476595 | Carolyne Adhiambo Redding | Nurse Practitioner | 7505 Pines Rd Ste 1235, Shreveport, LA 71129-3900 | 2018-02-06 |
| 1114449071 | Aaron Stigers | Nurse Practitioner | 2551 Greenwood Rd Ste 220, Shreveport, LA 71103-3985 | 2017-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063061950 | Jodie Diane Harrison | Nurse Practitioner | 1120 Robert Blvd Ste 200, Slidell, LA 70458-2069 | 2019-09-04 |
| 1376195271 | Michelle Elaine Johnson Orgeron | Nurse Practitioner | 226 Bouverans Cir, Lockport, LA 70374-3114 | 2019-07-10 |
| 1477927689 | Alanna Denise Hebert | Nurse Practitioner | 1366 Mamou Prairie Rd, Basile, LA 70515-3939 | 2015-11-26 |
| 1861645616 | Sonya Renee Pittman | Nurse Practitioner | 4426 S Carrollton Ave, New Orleans, LA 70119 | 2008-10-24 |
| 1699744664 | Northlake Rehab Professionals | Nurse Practitioner | 2101 Robin Ave, Hammond, LA 70403-5772 | 2006-03-14 |
| 1992700272 | Maureen Adrian Poe | Nurse Practitioner | 1204 W Prien Lake Rd, Lake Charles, LA 70601-8371 | 2005-06-14 |
| 1619595634 | Marguerita M Griffin | Nurse Practitioner | 2503 Broadmoor Blvd, Monroe, LA 71201-2987 | 2020-07-07 |
| 1225665417 | Jacob Robert Rickoll | Nurse Practitioner | 1631 Elysian Fields Ave, New Orleans, LA 70117-8208 | 2020-03-26 |
| 1447882162 | Kristen M. Hill | Nurse Practitioner | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2020-02-11 |
| 1992366538 | Amy Lynn Paris | Nurse Practitioner | 503 Mcmillan Rd, West Monroe, LA 71291-5327 | 2019-06-25 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
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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.