SOURCE CHIROPRACTIC & REHABILITATION, LLC (NPI# 1942453329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942453329 |
| Entity Type | Organization |
| Organization Name | SOURCE CHIROPRACTIC & REHABILITATION, LLC |
| Practice Address |
4033 Veterans Memorial Blvd Suite D Metairie LA 70002-5525 |
| Practice Telephone | 5043245617 |
| Practice Fax Number | 5043245618 |
| Mailing Telephone | 5043245617 |
| Mailing Fax Number | 5043245618 |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |
| Authorized Official Name | DR. DAVID CHRISTOPHER EDWARDS (OWNER) |
| Authorized Official Telephone | 5043245617 |
| Authorized Official Credential | D.C., C.C.S.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
1364 | LA | Ambulatory Health Care Facilities |
| Street Address |
4033 VETERANS MEMORIAL BLVD SUITE D |
| City | METAIRIE |
| State | LA |
| Zip Code | 70002-5525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083750400 | David Christopher Edwards | Chiropractor | 4033 Veterans Memorial Blvd, Suite D, Metairie, LA 70002-5525 | 2007-01-30 |
| 1952533184 | Sean M Lamy | Chiropractor | 4033 Veterans Memorial Blvd, Suite D, Metairie, LA 70002-5525 | 2009-08-21 |
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|---|---|---|---|---|
| 1114541737 | Solstice Technologies, Inc. | Clinical Medical Laboratory | 3501 Severn Ave Suite 24, Metairie, LA 70002 | 2020-05-29 |
| 1891335071 | Kristin Alongi | Nurse Practitioner | 3838 N Causeway Blvd. Ste 2200, Metairie, LA 70002 | 2020-01-15 |
| 1841850450 | Emily Suarez Tan | Dentist | 3301 Veterans Blvd., Suite 203, Metairie, LA 70002 | 2019-06-17 |
| 1902369317 | Unitedhealthcare of Louisiana, Inc. | Health Maintenance Organization | 3838 N. Causeway Blvd., Suite 2600, Metairie, LA 70002 | 2019-04-11 |
| 1013479195 | Jeffrey Scott Toler | Dentist | 2937 Veterans Memorial Blvd, Ste C, Metairie, LA 70002 | 2019-04-05 |
| 1982188470 | Kelly Brooke Anderson | Clinic/Center | 2215 Veterans Blvd, Metairie, LA 70002 | 2018-09-20 |
| 1831695253 | A&g Pediatrics LLC | Community Based Residential Treatment Facility, Mental Illness | 3001 Division St., Suite 206, Metairie, LA 70002 | 2018-04-04 |
| 1730691064 | Desire Care, LLC | Technician | 2800 Hessmer Ave, Suite B, Metairie, LA 70002 | 2017-10-26 |
| 1104338458 | Monet Wiltz | Case Manager/Care Coordinator | 2637 Edenborn Ave Ste 302, Metairie, LA 70002 | 2017-10-26 |
| 1316461395 | Crystal Mc Bride | Counselor | 3100 Ridgelake Dr. Suite 309, Metairie, LA 70002 | 2017-08-01 |
| Find all providers in zip 70002 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649709452 | Guste Plastic and Reconstructive Surgery, LLC | Clinic/Center | 3900 Veterans Blvd., Suite 200, Metairie, LA 70002 | 2017-06-06 |
| 1306273511 | Va Culotta Jr Md LLC | Clinic/Center | 4420 Conlin St., Ste 300, Metairie, LA 70006 | 2013-10-02 |
| 1033512322 | Spectrum Neurology Center LLC | Clinic/Center | 3409 Division St, Metairie, LA 70002-4611 | 2014-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193593 | L & F Ross Transportation, LLC | Clinic/Center | 2645 Taffy Dr, Marrero, LA 70072-5745 | 2020-04-21 |
| 1508227604 | Acadiana Allergy, Asthma and Immunology Center, LLC | Clinic/Center | 300 Rue Beauregard Ste F, Lafayette, LA 70508 | 2016-03-16 |
| 1215398631 | Stonewall Eye Care | Clinic/Center | 2434 Highway 171, Stonewall, LA 71078-9420 | 2016-03-11 |
| 1306109350 | Active Spine Care LLC | Clinic/Center | 8108 Picardy Ave Ste E, Baton Rouge, LA 70809-3514 | 2012-06-22 |
| 1003183047 | Clear Imaging LLC | Clinic/Center | 1241a 7th St, Slidell, LA 70458-2041 | 2011-11-18 |
| 1295064004 | Cynthia A. Williams, A.p.m.c. | Clinic/Center | 3555 Loyola Dr, Kenner, LA 70065-7706 | 2009-12-08 |
| 1205075256 | Peter Hertzak M.d. Pmc | Clinic/Center | 985 Robert Blvd Ste 102, Slidell, LA 70458-2063 | 2009-02-16 |
| 1215191903 | Myriam D Hutchinson Md | Clinic/Center | 104 N. Hospital Dr., Abbeville, LA 70510-4039 | 2008-07-11 |
| 1275706574 | Janice R. Pharr, Md, LLC | Clinic/Center | 1825 N 18th St, Suite A, Monroe, LA 71201-4401 | 2008-04-08 |
| 1538343157 | Access Vans of Louisiana Inc | Clinic/Center | 17300 Hwy. 77, Grosse Tete, LA 70740 | 2007-12-18 |
| Find all providers with the same taxonomy | ||||
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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.