SADIE ANN FUDGE (NPI# 1114433265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114433265 |
| Entity Type | Individual |
| Full Name | SADIE ANN FUDGE |
| Practice Address |
430 Dixie Plz Natchitoches LA 71457-5881 |
| Practice Telephone | 3183579009 |
| Practice Fax Number | 3183579008 |
| Mailing Telephone | 3183579009 |
| Mailing Fax Number | 3183579008 |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2017-12-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
430 DIXIE PLZ |
| City | NATCHITOCHES |
| State | LA |
| Zip Code | 71457-5881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851596019 | Olivia Yazzie | Counselor | 430 Dixie Plz, Natchitoches, LA 71457-5881 | 2007-06-18 |
| 1326665407 | Jacquelyn Alexis Holley | Case Manager/Care Coordinator | 430 Dixie Plz, Natchitoches, LA 71457-5881 | 2020-07-06 |
| 1891312716 | Becky Meziere | Case Manager/Care Coordinator | 430 Dixie Plz, Natchitoches, LA 71457-5881 | 2020-06-26 |
| 1114557899 | Carrie Maygen Wilson | Case Manager/Care Coordinator | 430 Dixie Plz, Natchitoches, LA 71457-5881 | 2020-01-22 |
| 1548815368 | Karyn Amber Jones | Case Manager/Care Coordinator | 430 Dixie Plz, Natchitoches, LA 71457-5881 | 2019-08-08 |
| 1942766795 | Zachary Johnson | Case Manager/Care Coordinator | 430 Dixie Plz, Natchitoches, LA 71457-5881 | 2019-02-18 |
| 1356811228 | Randa R Connor | Counselor | 430 Dixie Plz, Natchitoches, LA 71457-5881 | 2018-12-04 |
| 1730654369 | Glory Deaton | Case Manager/Care Coordinator | 430 Dixie Plz, Natchitoches, LA 71457-5881 | 2018-10-10 |
| 1144728445 | Viola Nicole Roque | Social Worker | 430 Dixie Plz, Natchitoches, LA 71457 | 2018-02-01 |
| 1780192898 | Monia Jackson | Counselor | 430 Dixie Plz, Natchitoches, LA 71457-5881 | 2018-01-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427615848 | Special Crawford | Case Manager/Care Coordinator | 419 Wasington Ave, Mansfield, LA 71457 | 2019-05-21 |
| 1497232748 | Hand In Hand Hospice Care LLC | Hospice Care, Community Based | 135 East 5th Street, Natchitoches, LA 71457 | 2018-07-19 |
| 1851809214 | Latoya M Gray | Counselor | 132 Kelly St, Natchitoches, LA 71457 | 2018-01-18 |
| 1467968024 | Amanda K Cully | Case Manager/Care Coordinator | 200 Rapides Dr Ste A, Natchitoches, LA 71457 | 2017-12-19 |
| 1972021749 | Jessica Smith | Case Manager/Care Coordinator | 325 South Drive, Natchitoches, LA 71457 | 2017-08-31 |
| 1689190720 | Chartia Hurt | Counselor | 430 Dixie Plaza, Natchitoches, LA 71457 | 2017-08-21 |
| 1902331556 | Daima Atinkah | Specialist/Technologist | 468 Caspari Drive, Natchitoches, LA 71457 | 2017-04-20 |
| 1548794969 | Stephanie Sowell | Counselor | 120 Laird Fletcher Rd, Natchitoches, LA 71457 | 2017-04-12 |
| 1538692579 | Cynthia Harmon | Counselor | 1025 Hill Ave, Natchitoches, LA 71457 | 2017-04-06 |
| 1104365097 | Justin Dewayne Evans I | Counselor | 820 Gentry Davis, Natchitoches, LA 71457 | 2017-02-13 |
| Find all providers in zip 71457 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467929133 | Jennifer Ware | Counselor | 100 Greystone Dr Apt B7, Natchitoches, LA 71457-3291 | 2018-10-30 |
| 1306346374 | Sonya Elie | Counselor | 724 Oakland Dr, Natchitoches, LA 71457-5626 | 2018-02-16 |
| 1548785470 | Markeitha Garcie | Counselor | 320 Pegasus St, Natchitoches, LA 71457-5010 | 2017-08-11 |
| 1952821464 | Cherrie Phillips | Counselor | 1540 Texas St, Natchitoches, LA 71457-3433 | 2017-06-26 |
| 1245769272 | Jessica Theus | Counselor | 169 Blanchard Rd Lot 11, Natchitoches, LA 71457-6270 | 2017-06-04 |
| 1760918999 | Barbara Johnson | Counselor | 344 South Dr., Suite A, Natchitoches, LA 71547 | 2017-05-09 |
| 1548794969 | Stephanie Sowell | Counselor | 120 Laird Fletcher Rd, Natchitoches, LA 71457 | 2017-04-12 |
| 1538692579 | Cynthia Harmon | Counselor | 1025 Hill Ave, Natchitoches, LA 71457 | 2017-04-06 |
| 1104365097 | Justin Dewayne Evans I | Counselor | 820 Gentry Davis, Natchitoches, LA 71457 | 2017-02-13 |
| 1114464138 | John Lacaze | Counselor | 1604 Northern St, Natchitoches, LA 71457-4235 | 2017-01-28 |
| Find all providers in NATCHITOCHES | ||||
| City | NATCHITOCHES |
| Zip Code | 71457 |
Please comment or provide details below to improve the information on SADIE ANN FUDGE.
| 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.