CARISA BOUDREAUX (NPI# 1114400801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114400801 |
| Entity Type | Individual |
| Full Name | CARISA BOUDREAUX |
| Practice Address |
1224 Vine St Los Angeles CA 90038-1612 |
| Practice Telephone | 3237696100 |
| Enumeration Date | 2018-09-10 |
| Last Update Date | 2018-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1224 VINE ST |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90038-1612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700819331 | Los Angeles County Department of Mental Health | Clinic/Center | 1224 Vine St, Los Angeles, CA 90038-1612 | 2006-07-08 |
| 1689215261 | Daisy Judith Banuelos | Counselor | 1224 Vine St, Los Angeles, CA 90038-1612 | 2019-10-04 |
| 1841831559 | Cindy Lopez | Student in an Organized Health Care Education/Training Program | 1224 Vine St, Los Angeles, CA 90038-1612 | 2019-10-03 |
| 1063061737 | Fay Goldenshteyn | Pharmacist | 1224 Vine St, Los Angeles, CA 90038-1612 | 2019-09-05 |
| 1831756923 | Joel S Jeffries | Counselor | 1224 Vine St, Los Angeles, CA 90038-1612 | 2019-05-23 |
| 1447735469 | Maureen Labern Smith | Case Manager/Care Coordinator | 1224 Vine St, Los Angeles, CA 90038-1612 | 2018-09-25 |
| 1457835761 | Lucy Danielle Taillieu | Student in an Organized Health Care Education/Training Program | 1224 Vine St, Los Angeles, CA 90038-1612 | 2018-09-21 |
| 1164905857 | Kaitlyn B Verbarendse | Student in an Organized Health Care Education/Training Program | 1224 Vine St, Los Angeles, CA 90038-1612 | 2018-09-10 |
| 1679054910 | Betsy Ann Ryan | Student in an Organized Health Care Education/Training Program | 1224 Vine St, Los Angeles, CA 90038-1612 | 2018-08-24 |
| 1700370780 | Meghan Noelle Krasnoff | Counselor | 1224 Vine St, Los Angeles, CA 90038-1612 | 2018-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114568698 | Kaiser Foundation Health Plan Inc | Pharmacy | 7007 Romaine St, Los Angeles, CA 90038 | 2019-10-04 |
| 1134685613 | National Vision Inc | Technician/Technologist | 5818 Santa Monica Boulevard, Los Angeles, CA 90038 | 2019-02-20 |
| 1023530482 | Christopher Michael Colon | Case Manager/Care Coordinator | 1224 N Vine Street, Los Angeles, CA 90038 | 2017-07-07 |
| 1841736477 | Randall Smith | Counselor | 7000 Romaine, 207-208, La, CA 90038 | 2017-01-06 |
| 1780050278 | Craig V. Smith, M.d., A Professional Medical Corporation | Internal Medicine | 6711 Melrose Ave., Los Angeles, CA 90038 | 2015-08-19 |
| 1033585534 | M2 Recovery, Inc. | Clinic/Center | 6715 Melrose Ave., Los Angeles, CA 90038 | 2015-08-19 |
| 1457760522 | Lital Shvarts | Psychologist | 6311 Romaine St Ste 7329, Los Angeles, CA 90038 | 2014-08-04 |
| 1144658071 | Aaron Niemi | Acupuncturist | 1011 North Cole Ave, Los Angeles, CA 90038 | 2013-11-01 |
| 1013351139 | Suren Vardanyan | Non-emergency Medical Transport (VAN) | 1208 N Gower St, #201, Los Angeles, CA 90038 | 2013-04-19 |
| 1093912966 | Tina Robinson | Registered Nurse | 1224 Vine St., Los Angeles, CA 90038 | 2007-07-02 |
| Find all providers in zip 90038 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020657 | Corinne Elizabeth Zachry | Student in an Organized Health Care Education/Training Program | 1149 S Hill St # H375, Los Angeles, CA 90015-2212 | 2020-10-15 |
| 1750989588 | Jasmine Carpenter | Student in an Organized Health Care Education/Training Program | 4920 S Avalon Blvd, Los Angeles, CA 90011-4004 | 2020-10-14 |
| 1801401062 | Rachel Brenner | Student in an Organized Health Care Education/Training Program | 3787 S Vermont Ave Apt 2, Los Angeles, CA 90007-4203 | 2020-09-14 |
| 1326653593 | Lamia Binhuwaishel | Student in an Organized Health Care Education/Training Program | 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 | 2020-09-14 |
| 1154936565 | Samrah Shaheer Abbasi | Student in an Organized Health Care Education/Training Program | 3022 Oakhurst Ave, Los Angeles, CA 90034-2856 | 2020-09-11 |
| 1568077071 | Amber Mottola | Student in an Organized Health Care Education/Training Program | 550 N Figueroa St Apt 4084, Los Angeles, CA 90012-3389 | 2020-09-11 |
| 1760096937 | Elizabeth Idema | Student in an Organized Health Care Education/Training Program | 1559 N Commonwealth Ave, Los Angeles, CA 90027-5513 | 2020-09-03 |
| 1053924225 | Deanna Sharon Lin | Student in an Organized Health Care Education/Training Program | 520 So Lafayette Park Place, 3rd Floor, Los Angeles, CA 90057-5400 | 2020-08-28 |
| 1003429762 | Kendra Knudsen | Student in an Organized Health Care Education/Training Program | 611 Levering Ave Apt 3, Los Angeles, CA 90024-2325 | 2020-08-24 |
| 1750993515 | Deena Basilious | Student in an Organized Health Care Education/Training Program | 1403 S Union Ave, Los Angeles, CA 90015-3205 | 2020-08-21 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90038 |
Please comment or provide details below to improve the information on CARISA BOUDREAUX.
| 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.