MRS. KRISTEN HEBERT HANNAMAN (NPI# 1063761898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063761898 |
| Entity Type | Individual |
| Full Name | MRS. KRISTEN HEBERT HANNAMAN |
| Credential | PA |
| Practice Address |
1905 Country Club Rd Lake Charles LA 70605-5203 |
| Mailing Address |
10319 Jefferson Hwy Baton Rouge LA 70809-2730 |
| Practice Telephone | 3379908000 |
| Practice Fax Number | 3379908010 |
| Mailing Telephone | 2252149352 |
| Mailing Fax Number | 2252149349 |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2013-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 782 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1905 COUNTRY CLUB RD |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-5203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063404747 | Melvin Joseph Marque IIi | Emergency Medicine | 1905 Country Club Rd, Lake Charles, LA 70605-5203 | 2005-08-18 |
| 1447677810 | Thomas Kazecki | Internal Medicine | 1905 Country Club Rd, Lake Charles, LA 70605 | 2014-03-24 |
| 1306135892 | Lake Charles Urgent Care | Clinic/Center | 1905 Country Club Rd, Lake Charles, LA 70605-5203 | 2011-04-05 |
| 1437390416 | Lacey Millet Cavanaugh | Family Medicine | 1905 Country Club Rd, Lake Charles, LA 70605-5203 | 2009-03-20 |
| 1356448138 | Jane Smeck | Emergency Medicine | 1905 Country Club Rd, Lake Charles, LA 70605-5203 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| 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 |
|---|---|---|---|---|
| 1821506726 | Jessica Danielle Casey | Physician Assistant | 1467 Hickory Ridge Dr, Lake Charles, LA 70611-3747 | 2018-01-14 |
| 1194243220 | Kayla Jeanne Dansby | Physician Assistant | 4345 Nelson Rd Ste 201, Lake Charles, LA 70605-4183 | 2017-09-08 |
| 1588947956 | Savannah Guidry Burnett | Physician Assistant | 3635 Nelson Rd, Lake Charles, LA 70605-1213 | 2011-09-22 |
| 1740577998 | Jeffrey John Daigle | Physician Assistant | 1615 Wolf Cir, Lake Charles, LA 70605-2348 | 2011-07-07 |
| 1487649091 | Staci Simon Boudreaux | Physician Assistant | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2005-09-20 |
| 1255939344 | Alexis Griffin | Physician Assistant | 2640 Country Club Rd Ste 400, Lake Charles, LA 70605-6079 | 2020-10-12 |
| 1699323964 | Lindsay Vincent Quebodeaux | Physician Assistant | 2640 Country Club Rd Ste 400, Lake Charles, LA 70605-6079 | 2019-08-29 |
| 1912560541 | Haley Cook Cart | Physician Assistant | 1747 Imperial Blvd, Lake Charles, LA 70605-5362 | 2019-04-18 |
| 1659884385 | Kathryn Olivia Zimmerman | Physician Assistant | 1717 Oak Park Blvd Fl 3, Lake Charles, LA 70601-8990 | 2017-11-16 |
| 1831639897 | Paul Joseph Leger | Physician Assistant | 1701 Oak Park Blvd., Lake Charles, LA 70601 | 2017-02-24 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
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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.