DR. MARY LOWERY NORDBERG (NPI# 1992151542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992151542 |
| Entity Type | Individual |
| Full Name | DR. MARY LOWERY NORDBERG |
| Credential | PH.D. |
| Practice Address |
2915 Missouri Ave Shreveport LA 71109-4327 |
| Mailing Address |
802 Erie St Shreveport LA 71106-1506 |
| Practice Telephone | 3186218820 |
| Practice Fax Number | 3182124189 |
| Mailing Telephone | 3183934089 |
| Mailing Fax Number | 3186814657 |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2016-05-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 170300000X | Genetic Counselor, MS | Other Service Providers | ||
| Y | 174H00000X | Health Educator | Other Service Providers |
| Street Address |
2915 MISSOURI AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71109-4327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649279910 | The Delta Pathology Group, L.L.C. | Clinical Medical Laboratory | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2005-07-19 |
| 1134495401 | Aaron Joseph Cotrell | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2012-03-30 |
| 1144515412 | Kirtesh Harshad Patel | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2011-06-15 |
| 1487944930 | Matthew Bryan Mastrodomenico | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2011-04-17 |
| 1679872329 | Luis Soto | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2011-03-21 |
| 1104144211 | Jared Dale Barker | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2010-05-13 |
| 1659515351 | Bruce Herrington | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2009-04-24 |
| 1093975039 | Jill Anne Ferguson | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2008-06-12 |
| 1609049220 | Andrew Blake Sholl | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2008-04-03 |
| 1871627067 | The Delta Pathology Group LLC | Pathology | 2915 Missouri Ave, Shreveport, LA 71109-4327 | 2007-03-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548784416 | Barbara Smith | Counselor | 4019 Greenwood Road, Shreveport, LA 71109 | 2017-08-01 |
| 1508306135 | Cherise Sims | Case Manager/Care Coordinator | 3512 Greenbriar Dr, Shreveport, LA 71109 | 2017-03-01 |
| 1174063093 | Nitika Pinesett | Case Manager/Care Coordinator | 3011 Independence Ave, Shreveport, LA 71109 | 2017-02-24 |
| 1831640986 | Aleric Hamilton | Counselor | 2605 Leaf Ln, Shreveport, LA 71109 | 2016-10-24 |
| 1144673963 | Lakeishia Johnson | Technician | 5342 Broadway Ave, Shreveport, LA 71109 | 2016-07-16 |
| 1083074223 | Patricia Pouncy | Counselor | 4019 Greenwood Rd, Shreveport, LA 71109 | 2016-03-01 |
| 1326418518 | Deepasulochana Sivasankaraganesan | Dentist | 3719 Jewella Ave, Shreveport, LA 71109 | 2015-09-30 |
| 1063611838 | Della Edwards Wills | Social Worker | 4615 Monkhouse Drive, Ste A-2-b, Shreveport, LA 71109 | 2007-07-12 |
| 1083743041 | An Endless Love Home Care, LLC | Point of Service | 6259 Tinker Street, Shreveport, LA 71109 | 2007-03-05 |
| 1316009624 | Djenane Rousseau | Pharmacist | 4140 Hollywood, Shreveport, LA 71109 | 2006-12-14 |
| Find all providers in zip 71109 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447865712 | Nikia L Bundage | Health Educator | 188 Easy St, Franklin, LA 70538-3337 | 2020-09-13 |
| 1861015364 | Megan Lee | Health Educator | 10000 Dawnadele Ave Bldg A, Baton Rouge, LA 70809-2591 | 2020-05-19 |
| 1700410404 | Michelle Rene Clay | Health Educator | 2623 Ursulines Ave, New Orleans, LA 70119-3435 | 2020-03-03 |
| 1104466580 | Rebecca Morley | Health Educator | 3060 Myrtle Ave, Baton Rouge, LA 70806-6848 | 2020-01-13 |
| 1285273177 | Daisha Bonhomme | Health Educator | 8849 Cedar Glen Dr, Baton Rouge, LA 70811-2406 | 2019-12-26 |
| 1568924033 | Jennifer Crochet | Health Educator | 14212 Calice St, Gonzales, LA 70737-5971 | 2019-04-03 |
| 1427556737 | Brian Mcconduit | Health Educator | 4603 Franklin Ave, New Orleans, LA 70122-6109 | 2018-02-01 |
| 1376095869 | Lillie Bell | Health Educator | 807 Koonce St, Natchitoches, LA 71457-3415 | 2016-10-31 |
| 1801346846 | Young Men's Christian Association of Northeast Louisiana | Health Educator | 1505 Stubbs Ave, Monroe, LA 71201-5627 | 2016-10-13 |
| 1700335940 | Julie Barnett | Health Educator | 760 Colonial Dr, Baton Rouge, LA 70806-6511 | 2016-09-29 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71109 |
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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.