RIVERSIDE PRIMARY HEALTHCARE ASSOCIATES,LLC


Address: 5640 Read Blvd, Suite 220, New Orleans, LA 70127-3140
Phone: 5042410105

RIVERSIDE PRIMARY HEALTHCARE ASSOCIATES,LLC (NPI# 1780989269) 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) 1780989269
Entity Type Organization
Organization Name RIVERSIDE PRIMARY HEALTHCARE ASSOCIATES,LLC
Practice Address 5640 Read Blvd
Suite 220
New Orleans
LA 70127-3140
Mailing Address 13 Lagi St
La Place
LA 70068-8408
Practice Telephone 5042410105
Mailing Telephone 5047823849
Enumeration Date 2011-01-14
Last Update Date 2011-01-14
Authorized Official Name MS. SHAMIKA WHITE (OWNER/NURSE PRACTITIONER)
Authorized Official Telephone 5047823849
Authorized Official Credential APRN,FNP-C
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Office Location

Street Address 5640 READ BLVD
SUITE 220
City NEW ORLEANS
State LA
Zip Code 70127-3140

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NPI Name Taxonomy Address Enumeration
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1073031027 Dina Michelle Parker Counselor 5640 Read Blvd, Suite 740, New Orleans, LA 70127 2017-08-30
1225553639 Radaiah Dillon Counselor 5640 Read Blvd, Suite 740, New Orleans, LA 70127 2017-08-07
1801334180 Nijja Griffin Counselor 5640 Read Blvd, 740, New Orleans, LA 70127 2017-02-07
1891239158 Elisabet Mcknight Assistant Behavior Analyst 5640 Read Blvd, Suite 740, New Orleans, LA 70127-3140 2016-12-06
1871036467 Treva Michelle Simms Counselor 5640 Read Blvd, New Orleans, LA 70127-3140 2016-11-30
1265975882 Stephanie Joseph Counselor 5640 Read Blvd, Suite 740, New Orleans, LOUISIANA 70127 2016-11-30
1346783909 Nashawn Butler Case Manager/Care Coordinator 5640 Read Blvd, New Orleans, LA 70127 2016-11-29
1588013544 Michon Copelin Case Manager/Care Coordinator 5640 Read Blvd, New Orleans, LA 70127-3140 2016-06-09
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1396115978 Central City Clinic/Center 2426 Simon Bolivar Ave, New Orleans, LA 70113-2548 2015-09-25
1669719357 Primary Care Partners, LLC Clinic/Center 3514 Gentilly Blvd, New Orleans, LA 70122-4908 2013-01-15
1508163411 Medical Center of Gentilly Clinic/Center 7901 Downman Rd, New Orleans, LA 70126-1200 2011-02-13
1104136241 Leading Edge Services International, Inc Clinic/Center 1501 Newton St, Suite C, New Orleans, LA 70114-2562 2010-10-07
1972739191 Common Ground Health Clinic Clinic/Center 1400 Teche St, New Orleans, LA 70114-5843 2009-06-02
1194870782 Comprehensive Medical Associates of New Orleans, LLC Clinic/Center 4001 Gen Degaulle Dr, Suite H, New Orleans, LA 70114-8220 2007-01-24
1326146499 Crescent City Pediatrics, L.L.C. Clinic/Center 320 N Carrollton Ave, Suite 103, New Orleans, LA 70119-5144 2006-09-20
1972094266 Louisiana Academic Health Network Clinic/Center 5552 Read Blvd, New Orleans, LA 70127 2018-05-23
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Competitor

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City NEW ORLEANS
Zip Code 70127

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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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