OUR LADY OF LAKE ASCENSION, LLC (NPI# 1114201399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114201399 |
| Entity Type | Organization |
| Organization Name | OUR LADY OF LAKE ASCENSION, LLC |
| Other Organization Name | ST ELIZABETH PHYSICIANS DSME PROGRAM |
| Practice Address |
2647 S Saint Elizabeth Blvd Gonzales LA 70737-5021 |
| Practice Telephone | 2256478511 |
| Mailing Telephone | 2256478511 |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-05 |
| Authorized Official Name | JOHN FREDERICK FRAICHE (PRESIDENT) |
| Authorized Official Telephone | 2256478511 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| Other Name | Type Code |
|---|---|
| St Elizabeth Physicians DSME Program | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306899067 | Our Lady of Lake Ascension, LLC | Family Medicine | 2647 S St. Elizabeth Blvd, Suite 100, Gonzales, LA 70737-5021 | 2006-05-17 |
| Street Address |
2647 S SAINT ELIZABETH BLVD |
| City | GONZALES |
| State | LA |
| Zip Code | 70737-5021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306844147 | Shawn Hall | Family Medicine | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | 2005-07-13 |
| 1669912689 | Allan L. Edmunds | Nurse Practitioner | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | 2017-02-24 |
| 1528410594 | Jordan Brignac | Nurse Practitioner | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | 2016-07-01 |
| 1063772234 | Swapna Gayathri Kallu | Internal Medicine | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | 2012-05-22 |
| 1770840563 | Kortney West | Pediatrics | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | 2012-04-18 |
| 1760748131 | Laura Frances Black | Physician Assistant | 2647 S Saint Elizabeth Blvd, Gonzales, Gonzales, LA 70737-5021 | 2012-04-10 |
| 1962777219 | Cheri S Landry | Dietitian, Registered | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | 2012-03-20 |
| 1811262165 | Lauren Jones | Dietitian, Registered | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | 2012-03-20 |
| 1023391620 | Mydhili Kanumilli | Internal Medicine | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | 2011-09-21 |
| 1407137128 | Mandy Lynn Templet | Nurse Practitioner | 2647 S Saint Elizabeth Blvd, Gonzales, LA 70737-5021 | 2011-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461593 | Scott G Petrie Md Apmc | Non-Pharmacy Dispensing Site | 1014 West St Clare Boulevard, Ste 1020, Gonzales, LA 70737 | 2020-09-15 |
| 1407461981 | Bryant Louis Bourgeois | Dentist | 13317 N Burnside, Gonzales, LA 70737 | 2020-09-11 |
| 1821612631 | Kene Anje Hamilton | Behavioral Analyst | 1028 East Worthy Street, Gonzales, LA 70737 | 2020-06-08 |
| 1801428636 | Mercedes Francis | Behavior Technician | 1023 E W Worthy Rd, Gonzales, LA 70737 | 2020-02-10 |
| 1407347586 | Functional Dme | Prosthetic/Orthotic Supplier | 219 W. Eastbank St., Ste B, Gonzales, LA 70737 | 2018-05-23 |
| 1235631789 | Transporting On Purpose | Non-emergency Medical Transport (VAN) | 42148 Conifer Drive, Gonzales, LA 70737 | 2018-03-01 |
| 1215453121 | Michelle Fuller Harris | Social Worker | 39094 N Angelle Ct, Gonzales, LA 70737 | 2017-08-22 |
| 1215452529 | Lani Litchfield | Specialist/Technologist | 13341 W. Mill Grove Dr, Gonzales, LA 70737 | 2017-08-08 |
| 1326569369 | Tyler Joshua Turner | Counselor | 1923 South Edwards, Gonzales, LA 70737 | 2017-06-29 |
| 1518408046 | Margaret Madere | Social Worker | 2827 S Ruby Street, Gonzales, LA 70737 | 2017-03-16 |
| Find all providers in zip 70737 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568924033 | Jennifer Crochet | Health Educator | 14212 Calice St, Gonzales, LA 70737-5971 | 2019-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447865712 | Nikia L Bundage | Health Educator | 188 Easy St, Franklin, LA 70538-3337 | 2020-09-13 |
| 1861015364 | Megan Lee | Health Educator | 10000 Dawnadele Ave Bldg A, Baton Rouge, LA 70809-2591 | 2020-05-19 |
| 1700410404 | Michelle Rene Clay | Health Educator | 2623 Ursulines Ave, New Orleans, LA 70119-3435 | 2020-03-03 |
| 1104466580 | Rebecca Morley | Health Educator | 3060 Myrtle Ave, Baton Rouge, LA 70806-6848 | 2020-01-13 |
| 1285273177 | Daisha Bonhomme | Health Educator | 8849 Cedar Glen Dr, Baton Rouge, LA 70811-2406 | 2019-12-26 |
| 1427556737 | Brian Mcconduit | Health Educator | 4603 Franklin Ave, New Orleans, LA 70122-6109 | 2018-02-01 |
| 1376095869 | Lillie Bell | Health Educator | 807 Koonce St, Natchitoches, LA 71457-3415 | 2016-10-31 |
| 1801346846 | Young Men's Christian Association of Northeast Louisiana | Health Educator | 1505 Stubbs Ave, Monroe, LA 71201-5627 | 2016-10-13 |
| 1700335940 | Julie Barnett | Health Educator | 760 Colonial Dr, Baton Rouge, LA 70806-6511 | 2016-09-29 |
| 1992254106 | Carolyn Dufresne | Health Educator | 3032 Ridgelake Dr Ste 201, Metairie, LA 70002-4972 | 2016-09-28 |
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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.