PAMELA ANN POURCIAU (NPI# 1053672691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053672691 |
| Entity Type | Individual |
| Full Name | PAMELA ANN POURCIAU |
| Practice Address |
502 Rue De Sante Suite 103 La Place LA 70068-5424 |
| Practice Telephone | 9856539675 |
| Practice Fax Number | 9856527893 |
| Mailing Telephone | 9856539675 |
| Mailing Fax Number | 9856527893 |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APO6794 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION # | A0312016 | 01 | |
| LA | ADVANCED PRACTICE NURSE | APO 6794 | 01 |
| LA | LA STATE BOARD OF NURSING PRESCRIPTIVE AND DISTRIBUTING IDENTIFI | PA ID # 010306 | 01 |
| Street Address |
502 RUE DE SANTE SUITE 103 |
| City | LA PLACE |
| State | LA |
| Zip Code | 70068-5424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215928213 | Aparna Vellanki | Internal Medicine | 502 Rue De Sante, Suite 206, La Place, LA 70068-5424 | 2005-10-31 |
| 1760856215 | La Pain Doctor Inc | Pain Medicine | 502 Rue De Sante, Suite 303, La Place, LA 70068-5424 | 2015-11-20 |
| 1831477314 | Ochsner Clinic LLC | General Practice | 502 Rue De Sante, La Place, LA 70068-5424 | 2011-08-01 |
| 1144469792 | Caulfield Urology Centers | Urology | 502 Rue De Sante, Suite 206, La Place, LA 70068-5424 | 2009-02-05 |
| 1255517371 | Rene Koppel, M.d. - A Professional Medical Corporation | Dermatology | 502 Rue De Sante, Suite #303, La Place, LA 70068-5424 | 2008-01-18 |
| 1346420767 | Denise A. Hymel | Registered Nurse | 502 Rue De Sante, Suite 306, La Place, LA 70068-5424 | 2007-11-14 |
| 1285763458 | Colette Marie Leblanc | Dietitian, Registered | 502 Rue De Sante, Ste 306, La Place, LA 70068-5424 | 2007-03-05 |
| 1659461689 | Brian N. Brogle, M.d, LLC | Urology | 502 Rue De Sante, Suite 103, La Place, LA 70068-5424 | 2006-10-13 |
| 1619985819 | William S Johnson IIi | Orthopaedic Surgery | 502 Rue De Sante, Suite 106, La Place, LA 70068-5424 | 2006-08-03 |
| 1295743417 | Linda G Thompson | Orthopaedic Surgery | 502 Rue De Sante, Suite 106, La Place, LA 70068-5424 | 2006-08-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831743962 | Herzel Enterprises, LLC | Speech-Language Pathologist | 2136 Colonial Dr., Laplace, LA 70068 | 2019-07-26 |
| 1225695752 | Roger Guerin | Nurse Practitioner | River Place Behavioral Hospital, 500 Rue De Sante Rd., Laplace, LA 70068 | 2019-05-21 |
| 1578079661 | William Paul Gomla | Pharmacist | 932 Carrollwood Ave., Laplace, LA 70068 | 2017-12-27 |
| 1770001497 | Danesha Anthony | Case Manager/Care Coordinator | 1820 English Colony Dr, La Place, LA 70068 | 2017-09-01 |
| 1679091649 | Shade Shamarion Collins | Counselor | 51 Country Club Drove, Laplace, LA 70068 | 2017-08-30 |
| 1306375746 | Aniya Kesean Burl | Counselor | 2425 Williamsburg Dr, Laplace, LA 70068 | 2017-06-08 |
| 1073042412 | Dominique L Mcgehee | Counselor | 2168 Carmel Valley Drive, Laplace, LA 70068 | 2017-06-08 |
| 1700310901 | Malchiel Smith | Social Worker | 3205 Us-51, Laplace, LA 70068 | 2017-04-13 |
| 1265965966 | Shitara Sanders | Counselor | 3205 Highway 51, Suite C, Laplace, LA 70068 | 2017-04-10 |
| 1841730181 | Southern Care Connection, LLC | Home Health | 1101 W Airline Hwy, Suite J, Laplace, LA 70068 | 2017-03-06 |
| Find all providers in zip 70068 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
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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.