JOHNATHAN ORY BOUDREAUX (NPI# 1114539418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114539418 |
| Entity Type | Individual |
| Full Name | JOHNATHAN ORY BOUDREAUX |
| Credential | DC |
| Practice Address |
3219 Sterlington Rd Monroe LA 71203-2519 |
| Practice Telephone | 3183875388 |
| Mailing Telephone | 3183875388 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1913 | LA | Chiropractic Providers |
| Street Address |
3219 STERLINGTON RD |
| City | MONROE |
| State | LA |
| Zip Code | 71203-2519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801408083 | Bwilling Counseling, LLC | Counselor | 1500 North 19th Street, Monroe, La 71201, LA 71203 | 2020-08-19 |
| 1427683234 | Alexander Lee Forehan | Specialist/Technologist | 4099 Northeast Dr, Monroe, LA 71203 | 2020-03-12 |
| 1568923092 | Northeast Louisiana Veteran's Home | Department of Veterans Affairs (VA) Pharmacy | 6700 Highway 165n, Monroe, LA 71203 | 2019-03-27 |
| 1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
| 1982196465 | Emmanuel D Hardy | Case Manager/Care Coordinator | 645 Hwy 80 East, Monroe, LA 71203 | 2018-05-31 |
| 1831689652 | Shereka Ruenet Devall | Counselor | 202 Lincoln Rd, Monroe, LA 71203 | 2018-05-17 |
| 1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
| 1851821912 | Niatra S Bell | Counselor | 645 Highway 80 East, Monroe, LA 71203 | 2017-06-12 |
| 1528597523 | Amazing Transport, LLC | Non-emergency Medical Transport (VAN) | 6300 Mosswood Dr., Monroe, LA 71203 | 2017-06-05 |
| 1326581737 | Charla Gix | Case Manager/Care Coordinator | 645 Us-80, Monroe, LA 71203 | 2016-12-02 |
| Find all providers in zip 71203 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922652700 | Jay E Solomon | Chiropractor | 11 Revere Rd, Monroe, NY 10950-6956 | 2019-07-30 |
| 1760044341 | Adjusted Health Chiropractic Pllc | Chiropractor | 15175 S Dixie Hwy Ste Aandb, Monroe, MI 48161-5038 | 2019-07-03 |
| 1851868293 | Lusi Yang | Chiropractor | 2311 Shockley Rd Nw, Monroe, GA 30656-3677 | 2018-10-24 |
| 1245718931 | Kathryn Kay Henderson | Chiropractor | 10 Dancer Ct, Monroe, NJ 08831-8001 | 2018-08-03 |
| 1528589595 | Parks Chiropractic Health Center | Chiropractor | 1058 N. Monroe Street, Monroe, MI 48162-3374 | 2017-06-29 |
| 1619421328 | Casey Beinlich | Chiropractor | 15175 S Dixie Hwy Ste A, Monroe, MI 48161-5038 | 2016-08-10 |
| 1609255157 | Talitha Smith-elliott | Chiropractor | 1900 Lamy Ln Ste D, Monroe, LA 71201-9200 | 2015-05-29 |
| 1740681857 | Living Well Pain Clinics Pllc | Chiropractor | 19265 State Route 2, Ste 200a, Monroe, WA 98272-1522 | 2014-09-08 |
| 1932541182 | Sky Valley Chiropractic Clinic P.s. | Chiropractor | 110 N. Blakely St., Monroe, WA 98272-8867 | 2013-07-29 |
| 1164761037 | Daniel C Comeaux | Chiropractor | 1112 Oliver Rd, Monroe, LA 71201-5714 | 2013-02-12 |
| Find all providers in MONROE | ||||
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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.