MRS. MEGAN REBECCA WEIDEMANN (NPI# 1962013581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962013581 |
| Entity Type | Individual |
| Full Name | MRS. MEGAN REBECCA WEIDEMANN |
| Credential | FNP-BC |
| Practice Address |
2375 Gause Blvd E Slidell LA 70461-4142 |
| Mailing Address |
1745b Gilcrease Ave Picayune MS 39466-2674 |
| Practice Telephone | 9856459000 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
892400 | MS | Nursing Service Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
903986 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2375 GAUSE BLVD E |
| City | SLIDELL |
| State | LA |
| Zip Code | 70461-4142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629057856 | Deepak S. Dixit | Emergency Medicine | 2375 Gause Blvd E, Slidell, LA 70461-4142 | 2006-01-16 |
| 1548755770 | Ochsner Clinic LLC | Internal Medicine | 2375 Gause Blvd E, Slidell, LA 70461-4142 | 2018-06-29 |
| 1891047569 | Yvonnie Oakley | Nurse Practitioner | 2375 Gause Blvd E, Slidell, LA 70461-4142 | 2012-10-05 |
| 1437405180 | Shannon Paul Pippin | Registered Nurse | 2375 Gause Blvd E, Slidell, LA 70461-4142 | 2012-07-31 |
| 1851609978 | Pelican Physician Services, LLC | Family Medicine | 2375 Gause Blvd E, Slidell, LA 70461-4142 | 2010-09-23 |
| 1518191188 | Laderer Physician Services | Family Medicine | 2375 Gause Blvd E, Slidell, LA 70461-4142 | 2009-05-11 |
| 1144404534 | Natalia B Hannan | Surgery | 2375 Gause Blvd E, Slidell, LA 70461-4142 | 2007-12-21 |
| 1164559845 | Naeem & Kumar LLC | Clinic/Center | 2375 Gause Blvd E, Slidell, LA 70461-4142 | 2007-02-28 |
| 1750497269 | Kumar Kishore Amaraneni | Emergency Medicine | 2375 Gause Blvd E, Slidell, LA 70461-4142 | 2006-08-21 |
| 1497773535 | Gollamudi H Reddy I | Physical Medicine & Rehabilitation | 2375 Gause Blvd E, Slidell, LA 70461-4142 | 2006-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553577 | Kira Gilmore Smith | Nurse Practitioner | Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 | 2019-11-20 |
| 1104477256 | Peter Khong | Pharmacy | 2915 Us-190, Mandeville, LA 70461 | 2019-09-20 |
| 1457844706 | April Hughes Whitfield | Counselor | 1313 Brownswitch Rd, Ste D, Slidell, LA 70461 | 2018-06-12 |
| 1154824761 | Lisa Michele Mcclinton | Counselor | 1212 Montgomery Blvd, Slidell, LA 70461 | 2018-03-10 |
| 1952816902 | Keiona Monae Thompson | Counselor | 1121 Clairise Ct, Slidell, LA 70461 | 2017-12-12 |
| 1275048688 | Aisha Cade | Counselor | 250 Cross Gates Blvd, Slidell, LA 70461 | 2017-12-07 |
| 1598285405 | Sureway Transits | Non-emergency Medical Transport (VAN) | 135 Rue De La Paix, Slidell, LA 70461 | 2017-06-21 |
| 1043743198 | Natasha Hunter | Counselor | 1650 Barrymore St, Slidell, LA 70461 | 2017-04-05 |
| 1154873891 | Chaise A Bennett | Physical Therapist | 2040 Gause Blvd, Suite 6, Slidell, LA 70461 | 2016-10-28 |
| 1104373539 | Kaonta Simmons | Counselor | 2185 Wellington Ln, Slidell, LA 70461 | 2016-09-01 |
| Find all providers in zip 70461 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770118374 | Jourdan Pellegrini | Nurse Practitioner | 114 Annette Dr, Slidell, LA 70458-6016 | 2020-03-04 |
| 1013553577 | Kira Gilmore Smith | Nurse Practitioner | Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 | 2019-11-20 |
| 1538703202 | Damita Veleka Carter-holmes | Nurse Practitioner | 1341 Denmark Ct, Slidell, LA 70461-4562 | 2019-11-05 |
| 1992350581 | Sharlana Wilson | Nurse Practitioner | 1218 Kings Row, Slidell, LA 70461-4434 | 2019-08-09 |
| 1699257428 | Healthcare In Harmony, LLC | Nurse Practitioner | 106 Autumn Lakes Cv, Slidell, LA 70461-5153 | 2018-08-29 |
| 1205333622 | Rebecca Bullard Ezell | Nurse Practitioner | 1850 Gause Blvd E Ste 101, Slidell, LA 70461-5454 | 2018-04-11 |
| 1275044331 | Dana R E Brown | Nurse Practitioner | 205a Sunset Dr, Slidell, LA 70460-6911 | 2017-10-17 |
| 1689105009 | Nerissa Christian | Nurse Practitioner | 206 Portsmouth Dr, Slidell, LA 70460-8433 | 2017-03-27 |
| 1851842843 | Shannon Regina Jackson | Nurse Practitioner | 294 Cypress Lakes Dr., Slidell, LA 70458 | 2016-10-14 |
| 1619337318 | Jamie Estes | Nurse Practitioner | 1835 Admiral Nelson Dr, Slidell, LA 70461-4512 | 2016-02-24 |
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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.