SHAUNDA JOHNSON (NPI# 1154973162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154973162 |
| Entity Type | Individual |
| Full Name | SHAUNDA JOHNSON |
| Practice Address |
150 Industrial Pkwy Lafayette LA 70508-8309 |
| Mailing Address |
101 Bandelier Dr Lafayette LA 70508-1823 |
| Practice Telephone | 3379623699 |
| Mailing Telephone | 3379623699 |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
1194 | LA | Behavioral Health & Social Service Providers |
| Street Address |
150 INDUSTRIAL PKWY |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70508-8309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346868676 | Cypress Bend Oral & Maxillofacial Surgery | Dentist | 106 Rue Bastille, Lafayette, LA 70508 | 2020-07-13 |
| 1184250607 | Learning Grove Therapy LLC | Clinic/Center | 105 Anaheim Lane, Lafayette, LA 70508 | 2020-03-16 |
| 1780218727 | Jennifer Trumps | Case Manager/Care Coordinator | 200 Entergy Parkway, Lafayette, LA 70508 | 2020-02-28 |
| 1740749605 | Hunter Sy Arceneaux | Physical Therapist | 1700 Kaliste Saloom Road, Building 3, Suite 300, Lafayette, LA 70508 | 2019-03-19 |
| 1295292787 | Brad Michael Gros | Counselor | 160 South Beadle Road, Lafayette, LA 70508 | 2019-02-21 |
| 1205337581 | Alternative Perspectives, LLC | Clinic/Center | 2807 Kaliste Saloom Rd Ste B, Lafayette, LA 70508 | 2018-02-22 |
| 1124528807 | Zachariah James Hebert | Counselor | 1602 W Pinhook Rd Suite 100a, The Family Tree, Lafayette, LA 70508 | 2018-02-19 |
| 1164934477 | Ilyas Munshi, Md Apmc | Non-Pharmacy Dispensing Site | 99 W. Martial Ave, Lafayette, LA 70508 | 2017-10-26 |
| 1447761226 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 4231 Ambassador Caffery Pkwy, Suite 102, Lafayette, LA 70508 | 2017-10-19 |
| 1306365457 | Mk Dixon Counseling and Consulting | Counselor | 105 Industrial Parkway, Lafayette, LA 70508 | 2017-09-10 |
| Find all providers in zip 70508 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457577785 | Lisa Cohen Bennett | Psychologist | 919 Village Center Drive Suite #2, Lafayette, CA 94549 | 2007-04-17 |
| 1164443818 | Michael Douglas De Mahy | Psychologist | 401 Audubon Blvd Ste 206b, Lafayette, LA 70503-2600 | 2006-07-21 |
| 1811501315 | Jordan Lynn Martell | Psychologist | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2020-09-02 |
| 1124520309 | Cedrina Knight Averette | Psychologist | 93 Magnate Dr, Lafayette, LA 70508-3890 | 2018-03-05 |
| 1437650330 | John Mccreary Tracy | Psychologist | 93 Magnate Dr, Lafayette, LA 70508-3890 | 2018-02-26 |
| 1013435551 | Kalprina R Williams | Psychologist | 2448 Johnston St, Lafayette, LA 70503-2756 | 2017-09-05 |
| 1801067558 | Gena D Hicks | Psychologist | 1319 W Baseline Rd, Ste 101-b, Lafayette, CO 80026-9307 | 2008-03-20 |
| 1215084132 | Naomi Laborde Friedberg | Psychologist | 2020 W Pinhook Rd, Ste 304, Lafayette, LA 70508-3212 | 2007-01-04 |
| 1104986363 | Theresa Ann Wozencraft | Psychologist | 850 Kaliste Saloom Rd, Suite 105, Lafayette, LA 70508-4230 | 2006-12-11 |
| 1417988676 | Heather Servaty-seib | Psychologist | 675 N 36th St, Lafayette, IN 47905-4475 | 2006-07-06 |
| Find all providers in LAFAYETTE | ||||
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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.