DAWN MAYON COSTA (NPI# 1144882150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144882150 |
| Entity Type | Individual |
| Full Name | DAWN MAYON COSTA |
| Practice Address |
500 Roderick St Ste B Morgan City LA 70380-2278 |
| Practice Telephone | 9853802460 |
| Practice Fax Number | 9853802476 |
| Mailing Telephone | 9853802860 |
| Mailing Fax Number | 9853802476 |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2020-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
500 RODERICK ST STE B |
| City | MORGAN CITY |
| State | LA |
| Zip Code | 70380-2278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669519815 | N Julie Fors | Counselor | 500 Roderick St Ste B, Morgan City, LA 70380-2247 | 2007-01-30 |
| 1104314962 | Brandie Levy | Counselor | 500 Roderick St Ste B, Morgan City, LA 70380 | 2018-04-27 |
| 1679082614 | Ronald Earl Brown II | Nurse Practitioner | 500 Roderick St Ste B, Morgan City, LA 70380-2278 | 2017-09-21 |
| 1093251472 | Brittany Mire | Nurse Practitioner | 500 Roderick St Ste B, Morgan City, LA 70380-2278 | 2017-01-10 |
| 1154715480 | Jerilyn Breaux | Counselor | 500 Roderick St Ste B, Morgan City, LA 70380-2247 | 2015-03-25 |
| 1326432659 | Adrian Kyle | Counselor | 500 Roderick St Ste B, Morgan City, LA 70380-2247 | 2015-03-25 |
| 1669727897 | Glenda B Spear | Counselor | 500 Roderick St Ste B, Morgan City, LA 70380-2247 | 2012-07-13 |
| 1902071921 | Megan Evans | Counselor | 500 Roderick St Ste B, Morgan City, LA 70380-2247 | 2008-04-30 |
| 1003095068 | Tracy Greenwood | Counselor | 500 Roderick St Ste B, Morgan City, LA 70380-2247 | 2007-10-26 |
| 1871782789 | Eileen Connors-taofik | Registered Nurse | 500 Roderick St Ste B, Morgan City, LA 70380-2247 | 2007-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720625486 | Aubree Elizabeth-grace Underwood | Counselor | Fairview Treatment Center, 1101 Southeast Blvd, Morgan City, LA 70380 | 2019-12-02 |
| 1235609827 | Lori Billiot | Counselor | 434 Lagonda Rd, Morgan City, LA 70380 | 2018-11-27 |
| 1942720255 | Landon Robinson | Non-emergency Medical Transport (VAN) | 1200 Victor II Blvd Suite 500, Morgan City, LA 70380 | 2017-06-27 |
| 1588198212 | Marcia Ann Blereau | Nurse Practitioner | 1122 8th St, Morgan City, LA 70380 | 2017-04-19 |
| 1316312119 | Daniel Lebeouf | Pharmacist | 1002 La-70, Morgan City, LA 70380 | 2015-12-04 |
| 1154667210 | Bayou Smiles Center | Dentist | 1205 Victor II Blvd, Morgan City, LA 70380 | 2012-12-18 |
| 1265788707 | Hpc Biologicals Inc | Pharmacy | 1234 David Dr Ste A, Morgan City, LA 70380 | 2012-08-02 |
| 1376824102 | Don Monroe Ryan | Pharmacist | 1301 Highway 90 East, Morgan City, LA 70380 | 2011-09-07 |
| 1235449067 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1216 Victor II Blvd, Ste 300, Morgan City, LA 70380 | 2010-10-14 |
| 1659600989 | Walter H. Daniels, M.d. A Professional Medical Corp. | Family Medicine | 1300 Lakewood Drive, Suite G, Morgan City, LA 70380 | 2009-12-16 |
| Find all providers in zip 70380 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1225661705 | Catrina Renee Chavis | Peer Specialist | 513 E 5th St, Deridder, LA 70634-7080 | 2020-02-12 |
| 1093347379 | Koti Trahan | Peer Specialist | 550 Melrose Dr, La Place, LA 70068-3512 | 2020-02-05 |
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1275173460 | Roshon Shantell Lloyd | Peer Specialist | 2048 Waters Dr, Marrero, LA 70072-4633 | 2020-01-15 |
| 1114567302 | Ruth Bermudez | Peer Specialist | 4747 Earhart Blvd Suite D, New Orleans, LA 70127 | 2020-01-15 |
| 1386284693 | Derrick D Landry | Peer Specialist | 7812 Shelly St, New Orleans, LA 70126-1435 | 2020-01-14 |
| 1922648203 | Cameron Ray Pogue | Peer Specialist | 1011 Malcolm St, Franklin, LA 70538-4341 | 2020-01-14 |
| Find all providers with the same taxonomy | ||||
| City | MORGAN CITY |
| Zip Code | 70380 |
Please comment or provide details below to improve the information on DAWN MAYON COSTA.
| 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.