DR. ANNIE WINGATE SPELL (NPI# 1104068170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104068170 |
| Entity Type | Individual |
| Full Name | DR. ANNIE WINGATE SPELL |
| Credential | PH.D. |
| Practice Address |
119 Rue Fountaine Lafayette LA 70508-5744 |
| Practice Telephone | 3379882874 |
| Practice Fax Number | 3379919165 |
| Mailing Telephone | 3379882874 |
| Mailing Fax Number | 3379919165 |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1097 | LA | Behavioral Health & Social Service Providers |
| Street Address |
119 RUE FOUNTAINE |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-5744 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972638005 | Lisa Ann Lincoln | Social Worker | 119 Rue Fountaine, Lafayette, LA 70508-5744 | 2007-02-22 |
| 1609366293 | Eric Green | Counselor | 119 Rue Fountaine, Lafayette, LA 70508-5744 | 2018-05-18 |
| 1497005375 | Gastroenterology Clinics of Louisiana | Internal Medicine | 119 Rue Fountaine, Lafayette, LA 70508-5744 | 2012-09-18 |
| 1437437092 | Lisa Lincoln, LLC | Counselor | 119 Rue Fountaine, Lafayette, LA 70508 | 2011-08-01 |
| 1679869812 | Mental Health Management, LLC | Social Worker | 119 Rue Fountaine, Lafayette, LA 70508-5744 | 2011-06-27 |
| 1831389741 | Psychiatric Associates of Southwest Louisiana | Nurse Practitioner | 119 Rue Fountaine, Lafayette, LA 70508-5744 | 2007-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912330549 | Gail Carmen Faust | Psychologist | 415 N 26th St Ste 202, Lafayette, IN 47904-2856 | 2013-08-19 |
| 1982900593 | Stacy Templeton Davis Psy D LLC | Psychologist | 234 Rue Beauregard, Ste 100, Lafayette, LA 70508-3285 | 2011-01-28 |
| 1619090172 | Heidi P Perryman | Psychologist | 3704 Mt Diablo Blvd, Suite 319, Lafayette, CA 94549-3684 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750928693 | Adrianne M Brennan Phd | Psychologist | 110 James Dr W, Saint Rose, LA 70087-4027 | 2019-12-10 |
| 1972758639 | Adrianne M Brennan | Psychologist | 433 Metairie Rd Ste 615, Metairie, LA 70005-4326 | 2008-11-22 |
| 1760647663 | William E Fowler | Psychologist | 309 Crystal St, New Orleans, LA 70124-2619 | 2008-07-21 |
| 1598926644 | Jerald W Bamburg Jr. | Psychologist | 106 N Bend Dr, Pineville, LA 71360-4677 | 2008-06-20 |
| 1548456189 | Courtney N. Baker | Psychologist | 6400 Freret St, Psychology Dept., 2007 Percival Stern Hall, New Orleans, LA 70118-5636 | 2007-09-18 |
| 1497895262 | Mercy Family Center | Psychologist | 110 Veterans Memorial Blvd., Suite 425, Metairie, LA 70005-4959 | 2007-02-08 |
| 1447310289 | Peter Clark | Psychologist | 203 W 21st Ave, Covington, LA 70433-3151 | 2006-12-11 |
| 1063473213 | Claire Dianne Peebles | Psychologist | 4517 Lorino St, Metairie, LA 70006-2323 | 2006-03-29 |
| 1831750645 | Kasia Plessy | Psychologist | 1430 Tulane Ave # 8055, New Orleans, LA 70112-2632 | 2019-06-23 |
| 1114588142 | Jamil Monique Gilliam | Psychologist | 1430 Tulane Ave # 8055, New Orleans, LA 70112-2632 | 2019-06-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ANNIE WINGATE SPELL.
| 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.