DANIELLE JACKSON THREATTS (NPI# 1033465778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033465778 |
| Entity Type | Individual |
| Full Name | DANIELLE JACKSON THREATTS |
| Practice Address |
105 Independence Blvd Ste 1 Lafayette LA 70506-8710 |
| Mailing Address |
405 N Parkerson St Rayne LA 70578-6544 |
| Practice Telephone | 3375344087 |
| Mailing Telephone | 3375344087 |
| Enumeration Date | 2012-07-31 |
| Last Update Date | 2020-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP07019 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
105 INDEPENDENCE BLVD STE 1 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-8710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689914723 | Cheryl Anne Henry-smith | Nurse Practitioner | 105 Independence Blvd Ste 1, Lafayette, LA 70506-8710 | 2013-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376169979 | Nancy Ariwodo | Nurse Practitioner | 225 Rue La France, Lafayette, LA 70508-1565 | 2020-06-19 |
| 1114558715 | Danielle J Threatts Aprn LLC | Nurse Practitioner | 208 W Gloria Switch Rd Ste 219, Lafayette, LA 70507-3409 | 2020-02-01 |
| 1992359848 | Harold G Frizzell Psychiatric Services LLC | Nurse Practitioner | 300 Thompson Loop, Lafayette, LA 70506-2820 | 2019-07-29 |
| 1154801876 | Seth Jordan Bowers | Nurse Practitioner | 4906 Ambassador Caffery Pkwy # B, Lafayette, LA 70508-6962 | 2018-08-21 |
| 1205351137 | Laura Lee Kight | Nurse Practitioner | 215 Rue Fontaine, Lafayette, LA 70508-5742 | 2017-08-11 |
| 1295273837 | Cinderella Broussard LLC | Nurse Practitioner | 208 W Gloria Switch Rd # 6, Lafayette, LA 70507-3409 | 2017-02-02 |
| 1811441702 | Amanda Barfield, LLC | Nurse Practitioner | 103 Epinal Dr, Lafayette, LA 70507-3241 | 2016-08-08 |
| 1437500519 | April Breaux | Nurse Practitioner | 114 Representative Row Ste B, Lafayette, LA 70508-3878 | 2016-06-29 |
| 1497119481 | Acadiana Healthcare Solutions LLC | Nurse Practitioner | 711 N Pierce St, Lafayette, LA 70501-3529 | 2016-04-06 |
| 1477926715 | Lisa A. Chavis LLC | Nurse Practitioner | 2826 Louisiana Ave, 1202, Lafayette, LA 70501-1383 | 2015-11-09 |
| Find all providers in LAFAYETTE | ||||
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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.