MS. ANNE BORNE COLWART (NPI# 1013242825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013242825 |
Entity Type | Individual |
Full Name | MS. ANNE BORNE COLWART |
Credential | ANP-C |
Practice Address |
159 Longview Dr Ste C Destrehan LA 70047-5076 |
Mailing Address |
1117 Highway 20 Thibodaux LA 70301-6240 |
Practice Telephone | 9857647669 |
Mailing Telephone | 9856333150 |
Enumeration Date | 2009-10-12 |
Last Update Date | 2015-01-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP05955 | LA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 2379569 | 05 | |
MS | 02009040 | 05 |
Street Address |
159 LONGVIEW DR STE C |
City | DESTREHAN |
State | LA |
Zip Code | 70047-5076 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326606393 | Tiara W Austin | Non-emergency Medical Transport (VAN) | 129 9th Street, Destrehan, LA 70047 | 2019-06-04 |
1376992685 | Maghan Eugene | Counselor | 271 Villere Dr, Destrehan, LA 70047 | 2016-06-07 |
1750701264 | Abby Elizabeth Gandolfi | Internal Medicine | 13100 River Rd Ste 200, Destrehan, LA 70047 | 2014-04-23 |
1316362304 | Greater New Orleans Eye Care-destrehan LLC | Optometrist | 1 Storehouse Lane, Unit B, Destrehan, LA 70047 | 2014-02-27 |
1295023315 | Melissa Marie Arceneaux-myers | Chiropractor | 1950 Ormond Blvd Ste A, Destrehan, LA 70047 | 2011-07-11 |
1104058635 | Elizabeth Thorson | Dentist | 159 Longview Dr Ste Longview, Ste A, Destrehan, LA 70047 | 2009-08-18 |
1770759979 | Annemarie B Clancy | Speech-Language Pathologist | 290 Bowie Road, Thibodaux, LA 70047 | 2008-05-07 |
1508088501 | Linda Fennell | Pharmacist | 128 Nottoway Dr, Destrhan, LA 70047 | 2007-05-02 |
1689739971 | Childrens Clinic LLC | Pediatrics | 3 Storehouse Lane, Suite B, Destrehan, LA 70047 | 2006-12-27 |
1235204835 | Richard Lee Owens Sr. | Dentist | 124 Longview Dr, Suite 8, Destrehan, LA 70047 | 2006-11-21 |
Find all providers in zip 70047 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215168786 | Wendy Anderson Mcnamara | Nurse Practitioner | 112 Gabrielle Ln, Destrehan, LA 70047-3019 | 2009-08-02 |
NPI | Name | Taxonomy | Address | Enumeration |
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1962003863 | Kristen Dickerson Burns | Nurse Practitioner | 2530 Bert Kouns Industrial Loop Ste 138, Shreveport, LA 71118-6114 | 2020-11-05 |
1932717576 | Tera Rachal Cooke | Nurse Practitioner | 1712 Missile Base Rd, Stonewall, LA 71078-8328 | 2020-07-20 |
1144847211 | Pelican Mobile Health, LLC | Nurse Practitioner | 105 Aycock Rd, Monroe, LA 71203-9335 | 2020-07-06 |
1114575396 | Jennifer Marie Williams | Nurse Practitioner | 327 Industrial Dr, Jonesboro, LA 71251-5498 | 2019-08-30 |
1730735663 | Dannette Furgerson | Nurse Practitioner | 2625 Leaf Ln, Shreveport, LA 71109-3010 | 2019-08-15 |
1285288951 | Valarie Golden Clark | Nurse Practitioner | 441 Route 66, Dequincy, LA 70633-5315 | 2019-07-30 |
1578039921 | Red Stick Healthcare | Nurse Practitioner | 16733 Wenwood Dr, Baton Rouge, LA 70817-6957 | 2018-10-23 |
1841706769 | Kellie Gater | Nurse Practitioner | 1111 Medical Center Blvd Ste S650, Marrero, LA 70072-3158 | 2017-12-15 |
1730601626 | Jennifer Holifield | Nurse Practitioner | 701 Metairie Rd Ste 2a-220, Metairie, LA 70005-4050 | 2017-07-12 |
1154773521 | Linda H Stodghill | Nurse Practitioner | 212 Rhymes St, Rayville, LA 71269-2917 | 2016-07-08 |
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.