DR. CONNIE HALE (NPI# 1790751642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790751642 |
| Entity Type | Individual |
| Full Name | DR. CONNIE HALE |
| Credential | NP |
| Practice Address |
3018 Old Minden Rd Ste 1117 Bossier City LA 71112-2497 |
| Mailing Address |
240 Piccadilly Cir Bossier City LA 71111-7127 |
| Practice Telephone | 3187461935 |
| Practice Fax Number | 3187462514 |
| Mailing Telephone | 3184224620 |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2019-09-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
AP03832 | LA | Allopathic & Osteopathic Physicians |
| N | 276400000X | Rehabilitation, Substance Use Disorder Unit | AP03832 | LA | Hospital Units |
| N | 283Q00000X | Psychiatric Hospital | AP03832 | LA | Hospitals |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP03832 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP03832 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1189537 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093703449 | Connie Michelle Hale | Advanced Practice Midwife | 11097 Hearth Rd, Spring Hill, FL 34608-3704 | 2005-10-10 |
| Street Address |
3018 OLD MINDEN RD STE 1117 |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71112-2497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649877184 | Valarie Smith | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-10-07 |
| 1811594336 | Jesse Dalton | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-10-07 |
| 1851905244 | Susan Mclean | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-09-02 |
| 1952910523 | Jeffery Chatman | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-07-29 |
| 1942819537 | Alexia Gistard | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-07-29 |
| 1043829633 | Mary Manuel | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-07-29 |
| 1487278271 | Rachel Alvarez | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-06-08 |
| 1184248247 | Karasha Harris | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-06-04 |
| 1104440262 | Reginald Smith | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-06-04 |
| 1295359255 | Ruth Caldwell | Case Manager/Care Coordinator | 3018 Old Minden Rd Ste 1117, Bossier City, LA 71112-2497 | 2020-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154810349 | Brittany Ariel Boone | Case Manager/Care Coordinator | 2323 Old Minden Rd Ste 500, Bossier City, LA 71112 | 2018-05-03 |
| 1396254520 | Abartllc | Non-emergency Medical Transport (VAN) | 400 John Wesley Blvd Apt 195, Bossier City, LA 71112 | 2017-09-19 |
| 1124547708 | Kendra Webster | Counselor | 3018 Old Minden Rd. Ste 1200, Bossier City, LA 71112 | 2017-09-14 |
| 1851818009 | Latonya Renee' Williams | Case Manager/Care Coordinator | 5383 Bluebell Dr, Bossier City, LA 71112 | 2017-08-28 |
| 1578084299 | Christian Sledge | Counselor | 1011 Princeton Ave, Bossier City, LA 71112 | 2017-07-03 |
| 1861925240 | Kyanna Williams Cosby | Counselor | 4009 Parkway Dr, Bossier City, LA 71112 | 2017-04-04 |
| 1962858191 | Jemeel Latrice Webb | Case Manager/Care Coordinator | 1787 Southview Drive, Bossier City, LA 71112 | 2016-05-06 |
| 1174986244 | Jaquitua Russell | Case Manager/Care Coordinator | 5005 Longstreet Pl Unit 1, Bossier City, LA 71112 | 2016-04-05 |
| 1528423175 | Deanna Lorraine Edwards | Contractor | 4007 Parkway Dr, Bossier City, LA 71112 | 2015-12-28 |
| 1700258605 | Derrick Thomas | Counselor | 2601 Hoyer St, Bossier City, LA 71112 | 2015-10-30 |
| Find all providers in zip 71112 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113124 | Rebirth Mental Health Services LLC | Nurse Practitioner | 2116 Gause Blvd W Ste E, Slidell, LA 70460-4120 | 2020-08-03 |
| 1427668748 | Julie Susann Dyrek | Nurse Practitioner | 1 Lakeshore Dr Ste 1830, Lake Charles, LA 70629-0114 | 2020-08-01 |
| 1376169979 | Nancy Ariwodo | Nurse Practitioner | 225 Rue La France, Lafayette, LA 70508-1565 | 2020-06-19 |
| 1578183208 | Donald Glyn Gardner II | Nurse Practitioner | 324 Blue Fox Cir, Haughton, LA 71037-7707 | 2020-04-22 |
| 1629604129 | Raelyn Marie Plauche | Nurse Practitioner | 1951 Florida Ave Sw Ste D&e, Denham Springs, LA 70726-4947 | 2020-03-16 |
| 1962035964 | Tyler Trenton Wansley | Nurse Practitioner | 23515 Us-190, Mandeville, LA 70448 | 2020-02-18 |
| 1114558715 | Danielle J Threatts Aprn LLC | Nurse Practitioner | 208 W Gloria Switch Rd Ste 219, Lafayette, LA 70507-3409 | 2020-02-01 |
| 1992359848 | Harold G Frizzell Psychiatric Services LLC | Nurse Practitioner | 300 Thompson Loop, Lafayette, LA 70506-2820 | 2019-07-29 |
| 1598227779 | Candyce Brown | Nurse Practitioner | 333 Dr Michael Debakey Dr Ste 220, Lake Charles, LA 70601-5888 | 2019-04-04 |
| 1659835346 | Cassandra Thomas-jingles Psychiatric Nurse Practitioner, LLC. | Nurse Practitioner | 156 Mcgehee Dr, Baton Rouge, LA 70815-5012 | 2019-01-26 |
| Find all providers with the same taxonomy | ||||
| City | BOSSIER CITY |
| Zip Code | 71112 |
Please comment or provide details below to improve the information on DR. CONNIE HALE.
| 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.