MR. TYRIE DAMON BLUE SR. (NPI# 1982841177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982841177 |
| Entity Type | Individual |
| Full Name | MR. TYRIE DAMON BLUE SR. |
| Practice Address |
7604 Bullard Ave New Orleans LA 70128-1125 |
| Practice Telephone | 5047220014 |
| Mailing Telephone | 5047220014 |
| Enumeration Date | 2009-01-09 |
| Last Update Date | 2009-01-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers |
| Street Address |
7604 BULLARD AVE |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70128-1125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033699152 | Delreil L Sanders | Case Manager/Care Coordinator | 7615 Forum Blvd, New Orleans, LA 70128 | 2018-08-17 |
| 1790278513 | Jenenne Coulon | Counselor | 11730 Morrison Rd, New Orleans, LA 70128 | 2018-06-07 |
| 1528559069 | Daniel Do | Dentist | 1096 I-10 Service Road, New Orleans, LA 70128 | 2018-05-21 |
| 1235635327 | Burton Transit LLC | Non-emergency Medical Transport (VAN) | 39 E Blue Ridge Ct, New Orleans, LA 70128 | 2018-04-05 |
| 1346744299 | Joyce Williams | Counselor | 15018 Curran Rd, New Orleans, LA 70128 | 2018-03-23 |
| 1366945925 | Letoyal Green | Case Manager/Care Coordinator | 7921 Bullard Avenue, Suite 2c, New Orleans, LA 70128 | 2018-03-09 |
| 1417458712 | Ekco Carter | Case Manager/Care Coordinator | 7540 W Sandy Cove Dr, New Orleans, LA 70128 | 2018-02-22 |
| 1194248823 | Brittany Reed | Non-emergency Medical Transport (VAN) | 4933 Pentland Dr, New Orleans, LA 70128 | 2017-07-25 |
| 1487176855 | Premier Lane Transportation | Non-emergency Medical Transport (VAN) | 14730 Beekman Road, New Orleans, LA 70128 | 2017-07-07 |
| 1952849085 | Emmar Mayberry | Counselor | 7551 Anne Marie Ct, New Orleans, LA 70128 | 2017-02-09 |
| Find all providers in zip 70128 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134763956 | Paulette Brown Carey | Technician | 1765 N Gayoso St, New Orleans, LA 70119-2152 | 2019-11-05 |
| 1538718028 | Shannon Delage | Technician | 5709 Elysian Fields Ave, New Orleans, LA 70122-4201 | 2019-09-06 |
| 1891344438 | Sheralyn Dickerson | Technician | 3303 S Robertson St Apt B, New Orleans, LA 70115-6047 | 2019-09-06 |
| 1518516285 | Winnie Wilmore | Technician | 4641 Knight Dr, New Orleans, LA 70127-3327 | 2019-09-05 |
| 1811200595 | Life Time Personal Care Service | Technician | 1010 Common St, Suite 2660, New Orleans, LA 70112-2401 | 2010-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538012 | Alejandro Manuel Sierra | Technician | 9800 Airline Hwy Ste 121, Baton Rouge, LA 70816-8000 | 2020-11-06 |
| 1366056459 | Carolyn Mosely | Technician | 42066 Pleasant Rg Ext, Ponchatoula, LA 70454-4718 | 2020-09-04 |
| 1457965675 | Sandra Elie | Technician | 31050 La Highway 16 Apt 1112, Denham Springs, LA 70726-9006 | 2020-09-04 |
| 1659984391 | Maurice Jamal Jefferson Sr. | Technician | 542 Columbia St Apt 3, Shreveport, LA 71104-3260 | 2020-08-24 |
| 1386254852 | Melanie Singleton | Technician | 2522 Ridge Rd, Duson, LA 70529-3925 | 2020-08-08 |
| 1184247363 | Beyond Measures Healthcare LLC | Technician | 1000 Court St Ste C, Port Allen, LA 70767-2668 | 2020-05-22 |
| 1114567005 | Anthony Black | Technician | 2202 Aubin Ln Apt 404, Baton Rouge, LA 70816-8294 | 2020-01-09 |
| 1538708565 | Mary E Foss-spriggs | Technician | 22102 Wittie Rd, Ponchatoula, LA 70454-5454 | 2019-12-20 |
| 1629613245 | Judy Peltier Bernard | Technician | 12600 Monger Rd, Jennings, LA 70546-6113 | 2019-11-07 |
| 1891338448 | Susan L Mahaney | Technician | 9945 Greentree Ln, Shreveport, LA 71118-5218 | 2019-10-25 |
| Find all providers with the same taxonomy | ||||
| City | NEW ORLEANS |
| Zip Code | 70128 |
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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.