GWENDOLYN PARKER (NPI# 1104279025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104279025 |
| Entity Type | Individual |
| Full Name | GWENDOLYN PARKER |
| Practice Address |
2495 Shreveport Hwy # 71 Pineville LA 71360-4044 |
| Mailing Address |
Po Box 3577 Pineville LA 71361-3577 |
| Practice Telephone | 3183061919 |
| Mailing Telephone | 3183061919 |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
RN105288 | LA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811444235 | Gwendolyn Henderson Parker | Radiology | 48165 Liberty Dr, Shelby Twp, MI 48315-4061 | 2016-09-01 |
| 1861576944 | Gwendolyn G Parker | Nurse Practitioner | 1250 E Marshall St, Internal Medicine/hematology/oncology, Richmond, VA 23298-5051 | 2006-10-25 |
| Street Address |
2495 SHREVEPORT HWY # 71 |
| City | PINEVILLE |
| State | LA |
| Zip Code | 71360-4044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982692364 | Ihor Andrew Zakaluzny | Surgery | 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044 | 2005-10-11 |
| 1063975449 | Jill Baker | Social Worker | 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044 | 2019-04-11 |
| 1235629528 | Tedra Watkins Scott | Social Worker | 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044 | 2018-05-13 |
| 1659888204 | Dean Jan | Pharmacist | 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044 | 2018-01-04 |
| 1205206968 | Delisha Smith | Occupational Therapist | 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044 | 2015-10-06 |
| 1679959092 | Sharin Guinn Deloach | Social Worker | 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044 | 2015-08-07 |
| 1689057770 | Jason Stewart | Physical Therapy Assistant | 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044 | 2015-07-07 |
| 1851774376 | Jason Desselle | Specialist | 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044 | 2015-07-01 |
| 1598145674 | Shaun Steffen Siebeneicher | Physical Therapist | 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044 | 2015-06-04 |
| 1124450374 | Pilar Sheplan Olsen | General Practice | 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044 | 2013-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110789 | Reneisha Armonii Roberts | Pharmacist | 3100 La-28, Pineville, LA 71360 | 2019-08-22 |
| 1396303145 | Tina Marie Lawhorn | Nurse Practitioner | 2945 Shreveport Hwy, Pineville, LA 71360 | 2019-06-05 |
| 1942773213 | Tioga Pharmacy LLC | Pharmacy | 5101 Shreveport Hwy, Pineville, LA 71360 | 2019-01-09 |
| 1649755497 | Jessica Wooten | Nurse Practitioner | 292 Jerry Lofton Rd, Pineville, LA 71360 | 2018-09-27 |
| 1215421995 | Elizabeth Simon-clark | Counselor | Central La State Hospital Unit 6 Meadows Lane, Pineville, LA 71360 | 2018-06-18 |
| 1982116497 | Dm Properties of Rapides, LLC | Radiology | 2705 Highway 28 E Ste B, Pineville, LA 71360 | 2017-10-25 |
| 1508384587 | Marion Patrick Hazelton I | Counselor | Pathways Red River Treatment Center, 242 West Shamrock Ave Unit 6 Melody Lane, Pineville, LA 71360 | 2017-08-30 |
| 1669902557 | Jessica Williams | Social Worker | Unit 6 Wing A Meadow Lane, Pineville, LA 71360 | 2017-06-14 |
| 1104365840 | Naomi Gates | Social Worker | 242 W Shamrock Unit 1, Pineville, LA 71360 | 2017-02-14 |
| 1861930224 | Sharon Humphrey | Counselor | 5400 Service Rd B206, Pineville, LA 71360 | 2017-02-06 |
| Find all providers in zip 71360 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134303944 | Ronda Marie Faciane | Registered Nurse | 501 E Stoner Ave, Shreveport, LA 71101-4242 | 2007-12-28 |
| 1407038821 | Assisted Hands, Inc | Registered Nurse | 2783 Plank Rd, Baton Rouge, LA 70805-8032 | 2007-11-27 |
| 1619004264 | Brandi Dionne Gray | Registered Nurse | 5640 Read Blvd Ste 220, New Orleans, LA 70127-7805 | 2007-02-28 |
| 1063751394 | Sheila S Freeman | Registered Nurse | 210 Layton Ave Ste 10, Monroe, LA 71201-8548 | 2013-02-06 |
| 1134380892 | Deborah C Allred | Registered Nurse | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2008-06-24 |
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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.