MRS. KALEA GADDIE (NPI# 1922581339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922581339 |
| Entity Type | Individual |
| Full Name | MRS. KALEA GADDIE |
| Credential | PA-C |
| Practice Address |
2709 Mackey Ln Shreveport LA 71118-2556 |
| Mailing Address |
8455 Fern Ave Apt 301 Shreveport LA 71105-5774 |
| Practice Telephone | 3185057626 |
| Mailing Telephone | 3187515930 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 310473 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2709 MACKEY LN |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71118-2556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407042435 | Hester Suh | Pediatrics | 2709 Mackey Ln, Shreveport, LA 71118-2556 | 2007-09-24 |
| 1487252029 | Melissa Raney | Physician Assistant | 2709 Mackey Ln, Shreveport, LA 71118-2556 | 2020-10-15 |
| 1528602372 | Kendra Louise Hinnenkamp | Pediatrics | 2709 Mackey Ln, Shreveport, LA 71118-2556 | 2019-11-05 |
| 1750925822 | Nicole Annalise Barnard | Pediatrics | 2709 Mackey Ln, Shreveport, LA 71118-2556 | 2019-11-01 |
| 1750803631 | Wee Care Pediatrics, LLC | Pediatrics | 2709 Mackey Ln, Shreveport, LA 71118-2556 | 2017-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620784 | Wk Center for Pediatric Gastroenterology | Pediatrics | Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 | 2019-10-11 |
| 1306302443 | Diamond Marie Willis | Case Manager/Care Coordinator | 9403 Mansfield Rd., Shreveport, LA 71118 | 2019-02-13 |
| 1194224469 | Latosa Hall | Case Manager/Care Coordinator | 9007 Letha Loop, Shreveport, LA 71118 | 2018-02-01 |
| 1902321623 | Bersheika Lashay Player | Counselor | 9403 Mansfield Road, Shreveport, LA 71118 | 2017-08-03 |
| 1518487149 | Clarke Jackson | Case Manager/Care Coordinator | 9730 Baird Rd Apt 2310, Shreveport, LA 71118 | 2017-06-24 |
| 1770010449 | Darrie'l Smith | Counselor | 2715 Mackey, Shreveport, LA 71118 | 2017-05-12 |
| 1760917041 | Delilah Wells | Case Manager/Care Coordinator | 9005 Walker Rd Apt 722, Shreveport, LA 71118 | 2017-04-25 |
| 1790229664 | We Care Transporttion Services LLC | Secured Medical Transport (VAN) | 2529 Summer Grove Dr, Shreveport, LA 71118 | 2016-12-13 |
| 1063955128 | Commanisha Smith | Social Worker | 2715 Mackey Place, Shreveport, LA 71118 | 2016-11-22 |
| 1023560802 | Yasmin Newman | Counselor | 9812 West Trails End, Shreveport, LA 71118 | 2016-10-27 |
| Find all providers in zip 71118 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829217 | Bno Surgical Consultants, LLC | Physician Assistant | 303 Captain Hm Shreve Blvd, Shreveport, LA 71115 | 2020-01-02 |
| 1497394076 | Midday Surgical Consultants, LLC | Physician Assistant | 550 Linden St, Shreveport, LA 71104-4426 | 2019-12-31 |
| 1225677800 | Geaux Surgical Consultants, LLC | Physician Assistant | 370 Gallier Pl, Shreveport, LA 71106-8377 | 2019-12-31 |
| 1962041541 | Ace Surgical Consultants, LLC | Physician Assistant | 11045 Gabriels Path, Shreveport, LA 71106-7791 | 2019-12-31 |
| 1013499763 | Kristi Harrison Gaspard | Physician Assistant | 2508 Bert Koun Loop Ste 106, Shreveport, LA 71118-3175 | 2018-08-29 |
| 1295216125 | Heather White | Physician Assistant | 745 Olive St Ste 200, Shreveport, LA 71104-2246 | 2018-08-28 |
| 1285143669 | Kara Forbis | Physician Assistant | 2600 Kings Hwy Ste 420, Shreveport, LA 71103-3950 | 2017-09-28 |
| 1144748195 | Catherine Murphy Rogers | Physician Assistant | 2727 Hearne Ave Ste 300, Shreveport, LA 71103-3918 | 2017-08-30 |
| 1972955474 | Robin Egan | Physician Assistant | 1811 E Bert Koun Loop Ste 200, Shreveport, LA 71105-5766 | 2016-07-07 |
| 1457733198 | Brfhh Shreveport LLC | Physician Assistant | 1541 Kings Highway, Shreveport, LA 71103-4228 | 2015-06-18 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71118 |
Please comment or provide details below to improve the information on MRS. KALEA GADDIE.
| 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.