BROOKS LEE VIAL (NPI# 1063031490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063031490 |
| Entity Type | Individual |
| Full Name | BROOKS LEE VIAL |
| Credential | PA-C |
| Practice Address |
3939 Houma Blvd Ste 21 Metairie LA 70006-2921 |
| Practice Telephone | 9852124286 |
| Enumeration Date | 2020-04-15 |
| Last Update Date | 2020-06-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14041 Highway 90, Boutte, LA 70039 | 9857643001 |
| Street Address |
3939 HOUMA BLVD STE 21 |
| City | METAIRIE |
| State | LA |
| Zip Code | 70006-2921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952525735 | Jeroen F Kleine Staarman | Physical Therapist | 3939 Houma Blvd Ste 21, Metairie, LA 70006-2921 | 2007-04-12 |
| 1497181713 | Keisha Thomas Digiovanni | Physical Therapist | 3939 Houma Blvd Ste 21, Metairie, LA 70006-2921 | 2013-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437786365 | Christina Alder Humble | Behavior Technician | 4201 N 1-10 Service Road W., Metairie, LA 70006 | 2020-03-23 |
| 1285270959 | Brittanie Renee Tank | Behavior Technician | 4201 N 1-10 Service Rd, W, Metairie, LA 70006 | 2019-11-18 |
| 1447896105 | Jacob Dent Dds Dentists of Metairie A Professional Corporation | Dentist | 5201 Veterans Memorial Blvd., Suite A, Metairie, LA 70006 | 2019-11-18 |
| 1417504861 | Caryn Tesia Washington | Behavior Technician | 4201 N 1-10 Service Rd W., Metarie, LA 70006 | 2019-08-21 |
| 1568023356 | Brittany Nicole Davis | Behavioral Analyst | 4201 N-i 10 Service Rd, Metairie, LA 70006 | 2019-06-24 |
| 1295393650 | Beth Ann Martin | Behavior Technician | 4201 N. Service Road W, Metairie, LA 70006 | 2019-05-31 |
| 1942866561 | Manunique Johnson | Behavior Technician | 4201 N-1-10 Service Rd W., Metairie, LA 70006 | 2019-05-20 |
| 1972068419 | Stacey R Phipps | Behavior Technician | 4201 N 1-10 Service Rd. W., Metairie, LA 70006 | 2019-02-08 |
| 1740752799 | Na'triana Clark | Behavior Technician | 4210 N I-10 Service Rd, Metairie, LA 70006 | 2018-12-31 |
| 1861969131 | Lauren Hay Hughes | Behavior Technician | 4201 N 1-10 Service Rd. West, Metairie, LA 70006 | 2018-10-25 |
| Find all providers in zip 70006 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144797952 | Savanna Lee Farris | Physician Assistant | 701 Metairie Rd Ste 2a205, Metairie, LA 70005-4061 | 2018-10-30 |
| 1891289302 | Haley Brooke Baudoin | Physician Assistant | 3001 Division St Ste 105, Metairie, LA 70002-5854 | 2018-06-18 |
| 1477706968 | Edna Beth Nettles | Physician Assistant | 2706 Hessmer Ave, Suite A, Metairie, LA 70002-7041 | 2008-10-28 |
| 1154979078 | Brandt Aymond | Physician Assistant | 545 Oaklawn Dr, Metairie, LA 70005-2808 | 2019-09-04 |
| 1912550641 | Corteney Emma Finnell | Physician Assistant | 2215 Veterans Blvd, Metairie, LA 70002 | 2019-07-22 |
| 1245883446 | Chet Myer | Physician Assistant | 4315 Houma Blvd, Metairie, LA 70006-2940 | 2019-07-17 |
| 1275016859 | Jennifer Prendergast Miller | Physician Assistant | 2215 Veterans Memorial Blvd, Metairie, LA 70002-6322 | 2018-09-10 |
| 1215453139 | Joshua Michael Collins | Physician Assistant | 2215 Veterans Memorial Blvd, Metairie, LA 70002-6322 | 2017-08-22 |
| 1346698990 | Nicholas J Usner | Physician Assistant | 3939 Houma Blvd, Ste 21, Metairie, LA 70006-2931 | 2016-05-24 |
| 1942603592 | Heather Wills | Physician Assistant | 3510 N Causeway Blvd, Suite 110, Metairie, LA 70002-3531 | 2014-09-26 |
| Find all providers in METAIRIE | ||||
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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.