KELLIE LYN LUCAS (NPI# 1801415088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801415088 |
| Entity Type | Individual |
| Full Name | KELLIE LYN LUCAS |
| Other Name | KELLIE LYN MILAM |
| Credential | MD |
| Practice Address |
1978 Industrial Blvd Houma LA 70363-7055 |
| Practice Telephone | 9858732710 |
| Mailing Telephone | 9858732710 |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2020-04-21 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598063703 | Kellie Lucas | Physician Assistant | 266 Joule St, Alcoa, TN 37701-2422 | 2011-03-11 |
| Street Address |
1978 INDUSTRIAL BLVD |
| City | HOUMA |
| State | LA |
| Zip Code | 70363-7055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841237088 | Leonard J. Chabert Medical Center | General Acute Care Hospital | 1978 Industrial Blvd, Houma, LA 70363-7055 | 2006-05-31 |
| 1215554316 | Rami Hussain | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd, Houma, LA 70363 | 2020-07-06 |
| 1518588631 | Stefan Canacevic | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd, Houma, LA 70363 | 2020-04-29 |
| 1467081364 | Priyanka Sanjeev Patel | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd, Houma, LA 70363-7055 | 2020-04-03 |
| 1871122739 | Seth Haydel | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd, Houma, LA 70363-7055 | 2020-04-03 |
| 1285263277 | Sofia Beg | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd, Houma, LA 70363-7055 | 2020-04-02 |
| 1871129916 | Anna Catherine Waguespack | Nurse Anesthetist, Certified Registered | 1978 Industrial Blvd, Houma, LA 70363-7055 | 2020-03-20 |
| 1124660345 | Renee St Germain | Nurse Practitioner | 1978 Industrial Blvd, Houma, LA 70363-7055 | 2019-10-09 |
| 1780245829 | Oluwatoyin Opeyemi Alawale | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd, Houma, LA 70363 | 2019-06-27 |
| 1467010645 | Lexi L Parr | Physician Assistant | 1978 Industrial Blvd, Houma, LA 70363-7055 | 2019-06-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286991 | Nadish Ravindran | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd Internal Medicine Program, Chabert Medical Center, Houma, LA 70363 | 2020-05-08 |
| 1912527185 | Gurjit Singh Brar | Student in an Organized Health Care Education/Training Program | Chabert Medical Center 1978 Industrial Blvd, Internal Medicine Residency Program, Houma, LA 70363 | 2020-04-17 |
| 1912568718 | Blake P Pitre | Pharmacist | 13087 West Main St, Larose, LA 70363 | 2019-06-24 |
| 1528623212 | Navkiran Singh Jagdev | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd Chabert Medical Center, Internal Medicine Residency Program, Houma, LA 70363 | 2019-05-08 |
| 1376107367 | Sheahahn Vikash Soundranayagam | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program Chabert Medical, Center, 1978 Industrial Blvd, Hourna, LA 70363 | 2019-04-25 |
| 1962991034 | Naveen Silva | Student in an Organized Health Care Education/Training Program | 1976 Industrial Blvd, Internal Medicine Residency Program Chabert Medical Cen, Houma, LA 70363 | 2018-05-04 |
| 1841647526 | Ammad Asad Syed | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd., Internal Medicine Residency Program, Chabert Medical Ce, Houma, LA 70363 | 2016-05-23 |
| 1538514450 | Khizran Rizvi | Internal Medicine | 1978 Industrial Blvd. Chabert Medical Center, Internal Medicine Residency Program, Houma, LA 70363 | 2016-04-28 |
| 1649656836 | David Price | Pharmacist | 9303 East Parke Avenue, Houma, LA 70363 | 2015-08-11 |
| 1346638053 | Donna Marie Neville | Case Manager/Care Coordinator | 137 New Orleans Blvd, Houma, LA 70363 | 2015-01-05 |
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| 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 |
|---|---|---|---|---|
| 1629689377 | Mitchell Callahan | Student in an Organized Health Care Education/Training Program | 122 Ouiski Bayou Dr, Houma, LA 70360-7964 | 2020-08-14 |
| 1588286991 | Nadish Ravindran | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd Internal Medicine Program, Chabert Medical Center, Houma, LA 70363 | 2020-05-08 |
| 1912527185 | Gurjit Singh Brar | Student in an Organized Health Care Education/Training Program | Chabert Medical Center 1978 Industrial Blvd, Internal Medicine Residency Program, Houma, LA 70363 | 2020-04-17 |
| 1710514567 | Cody James Prejean | Student in an Organized Health Care Education/Training Program | 413 Cavaness Dr, Houma, LA 70364-2221 | 2020-03-23 |
| 1154957165 | Lauren C Cooper | Student in an Organized Health Care Education/Training Program | 207 Arapaho Dr, Houma, LA 70360-6290 | 2020-03-21 |
| 1528623212 | Navkiran Singh Jagdev | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd Chabert Medical Center, Internal Medicine Residency Program, Houma, LA 70363 | 2019-05-08 |
| 1962991034 | Naveen Silva | Student in an Organized Health Care Education/Training Program | 1976 Industrial Blvd, Internal Medicine Residency Program Chabert Medical Cen, Houma, LA 70363 | 2018-05-04 |
| 1174067151 | Zachary Poincon | Student in an Organized Health Care Education/Training Program | 148 Gran Ct, Houma, LA 70364-4312 | 2016-12-12 |
| 1841647526 | Ammad Asad Syed | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd., Internal Medicine Residency Program, Chabert Medical Ce, Houma, LA 70363 | 2016-05-23 |
| 1780053553 | Alexandra Simmons | Student in an Organized Health Care Education/Training Program | 101 Catherine Dr, Houma, LA 70360 | 2015-09-22 |
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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.