CLISTA HUBER (NPI# 1003447137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003447137 |
| Entity Type | Individual |
| Full Name | CLISTA HUBER |
| Practice Address |
118 Village St Slidell LA 70458-5302 |
| Mailing Address |
8326 Kelwood Ave Baton Rouge LA 70806-4803 |
| Practice Telephone | 6017998107 |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
118 VILLAGE ST |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013016070 | F and M Specialty Pharmacy Inc | Pharmacy | 118 Village St, Suite D, Slidell, LA 70458-5302 | 2006-09-22 |
| 1326660200 | Torrie Douglas | Peer Specialist | 118 Village St, Slidell, LA 70458-5302 | 2020-05-13 |
| 1104451434 | Tyeisha Lee | Peer Specialist | 118 Village St, Slidell, LA 70458-5302 | 2020-03-06 |
| 1528691094 | Nicole Taylor | Peer Specialist | 118 Village St, Slidell, LA 70458-5302 | 2020-02-12 |
| 1619509965 | Serena Chante Richard | Peer Specialist | 118 Village St, Slidell, LA 70458-5302 | 2020-02-05 |
| 1679105985 | Yolanda Richardson Davis | Peer Specialist | 118 Village St, Slidell, LA 70458-5302 | 2020-02-05 |
| 1497385108 | Sara Louise Padgett | Peer Specialist | 118 Village St, Slidell, LA 70458-5302 | 2020-01-22 |
| 1609415363 | Jacquelyn Troshelle Robinson | Peer Specialist | 118 Village St, Slidell, LA 70458-5302 | 2019-12-29 |
| 1013556752 | Colette Ruffin | Peer Specialist | 118 Village St, Slidell, LA 70458-5302 | 2019-12-28 |
| 1477192334 | Kewana C Piediscalzo | Peer Specialist | 118 Village St, Slidell, LA 70458-5302 | 2019-12-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
| Find all providers in zip 70458 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1083253603 | Sekenya Fleet | Peer Specialist | 118 Village Dr, Slidell, LA 70461-5228 | 2019-12-30 |
| 1386283208 | Lakea Johnson | Peer Specialist | 61429 N 7th St, Slidell, LA 70460-4681 | 2019-12-23 |
| 1073126843 | Katherine Lee Penton | Peer Specialist | 2331 Carey St, Slidell, LA 70458-3627 | 2020-08-31 |
| 1255944138 | Ashley Vonhadnagy | Peer Specialist | 2331 Carey St, Slidell, LA 70458-3627 | 2020-08-28 |
| 1326660200 | Torrie Douglas | Peer Specialist | 118 Village St, Slidell, LA 70458-5302 | 2020-05-13 |
| 1104451434 | Tyeisha Lee | Peer Specialist | 118 Village St, Slidell, LA 70458-5302 | 2020-03-06 |
| 1528691094 | Nicole Taylor | Peer Specialist | 118 Village St, Slidell, LA 70458-5302 | 2020-02-12 |
| 1619509965 | Serena Chante Richard | Peer Specialist | 118 Village St, Slidell, LA 70458-5302 | 2020-02-05 |
| 1679105985 | Yolanda Richardson Davis | Peer Specialist | 118 Village St, Slidell, LA 70458-5302 | 2020-02-05 |
| Find all providers in SLIDELL | ||||
Please comment or provide details below to improve the information on CLISTA HUBER.
| 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.