DODIE GORDON DANIELS (NPI# 1033699525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033699525 |
| Entity Type | Individual |
| Full Name | DODIE GORDON DANIELS |
| Credential | NP |
| Practice Address |
504 W. Main Street Elizabeth LA 70638 |
| Mailing Address |
Po Box 629 Oakdale LA 71463-0629 |
| Practice Telephone | 3186345475 |
| Practice Fax Number | 3186345476 |
| Mailing Telephone | 3186345475 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP10136 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
504 W. MAIN STREET |
| City | ELIZABETH |
| State | LA |
| Zip Code | 70638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457454001 | Brian Eric Fussell | Dentist | 802 Riverside Drive, Franklinton, LA 70638 | 2006-09-07 |
| 1295776680 | Progressive Acute Care Oakdale, LLC | Clinic/Center | 504 West Main St, Elizabeth, LA 70638 | 2006-06-09 |
| 1871019471 | Emily Marcantel Cox | Nurse Practitioner | 504 W Main St, Elizabeth, LA 70638 | 2017-08-16 |
| 1205930450 | Clhg-oakdale, LLC | Clinic/Center | 504 West Main, Oakdale, LA 70638-0001 | 2006-09-09 |
| 1184147787 | Melanie Welch | Nurse Practitioner | 4855 Highway 10 Ste C, Elizabeth, LA 70638-4800 | 2017-07-25 |
| 1497095681 | Louisiana Health Care Practitioners LLC | Clinic/Center | 4855 Highway 10 West, Suite 3, Elizabeth, LA 70638-4855 | 2013-02-25 |
| 1912080730 | Mica Mcdaniel | Nurse Practitioner | 4855 Hwy 10 W, Elizabeth, LA 70638-6343 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861750 | Columbia Dental of Elizabeth Pa | Dentist | 151 Jefferson Avenue, Elizabeth, NJ 07201 | 2020-11-04 |
| 1295336824 | Rebecca G Oliveira | Physical Therapist | 63 Elmora Ave, Elizabeth, NJ 07202-1651 | 2020-11-02 |
| 1811596307 | Kinjal J Mehta | Dentist | 151 Jefferson Ave, Elizabeth, NJ 07201-2490 | 2020-10-26 |
| 1396344511 | Robin Hoover | Technician | 56 Pioneer Cir Apt 301, Elizabeth, WV 26143-0087 | 2020-10-19 |
| 1326645664 | Amed Bientz Mendez | Dentist | 700 N Broad St Ste 101, Elizabeth, NJ 07208-2310 | 2020-10-08 |
| 1487269916 | Syren Gonzalez Perez | Dentist | 408 Vine St Apt 1b, Elizabeth, NJ 07202-2350 | 2020-09-11 |
| 1366057978 | Betty Jeanellan Green | Technician | 157 Railroad Dr, Elizabeth, WV 26143-5107 | 2020-09-10 |
| 1134734627 | Sheila Gibson | Technician | 68 W Crystal Lake Way, Elizabeth, WV 26143-5776 | 2020-09-10 |
| 1295347235 | Linda Mae Sams | Technician | 88 Churchill St., Elizabeth, WV 26143 | 2020-08-20 |
| 1265043012 | Balancerehab and Physical Therapy LLC | Physical Therapist | 406a N Broad St, Elizabeth, NJ 07208-3365 | 2020-08-14 |
| Find all providers in ELIZABETH | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992335038 | Claudia Janneth Charry | Nurse Practitioner | 744 Grier Ave, Elizabeth, NJ 07202-2524 | 2020-01-16 |
| 1033681390 | Novil Kaur | Nurse Practitioner | 240 Williamson St Ste 305, Elizabeth, NJ 07202-3672 | 2018-12-27 |
| 1932602976 | Jennifer Huffman | Nurse Practitioner | 461 Schoolview St, Elizabeth, WV 26143-0400 | 2018-03-15 |
| 1184147787 | Melanie Welch | Nurse Practitioner | 4855 Highway 10 Ste C, Elizabeth, LA 70638-4800 | 2017-07-25 |
| 1174072029 | Fatima Ibrahim | Nurse Practitioner | 570 Cherry St, Elizabeth, NJ 07208-1748 | 2016-10-03 |
| 1588021836 | Angela Dawn Crowe | Nurse Practitioner | 461 Schoolview Street, Elizabeth, WV 26143 | 2016-01-18 |
| 1134526759 | Fehintola Ogunsakin | Nurse Practitioner | 288 N Broad St Fl 2a, Elizabeth, NJ 07208-3711 | 2014-11-25 |
| 1619379641 | Felicia Greulich | Nurse Practitioner | 240-242 W Jersey St, Elizabeth, NJ 07202-1371 | 2014-09-22 |
| 1649586496 | Julia Ann Bosworth | Nurse Practitioner | 11999 Casino Center Dr Se, Elizabeth, IN 47117-7753 | 2010-08-30 |
| 1689742504 | Gisela Hannelore Walker | Nurse Practitioner | 29536 Cty Rd 5, Elizabeth, CO 80107 | 2006-11-30 |
| Find all providers in ELIZABETH | ||||
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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.