DR. JEFFREY M VAN NESS (NPI# 1174010268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174010268 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY M VAN NESS |
| Credential | DMD |
| Practice Address |
Air Force Base Dentist Clinic Twining Drive Barksdale Afb LA 71110 |
| Practice Telephone | 9259179720 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |
| Gender Code | M |
| 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 |
AIR FORCE BASE DENTIST CLINIC TWINING DRIVE |
| City | BARKSDALE AFB |
| State | LA |
| Zip Code | 71110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275029704 | Melissa Nicole Ratliff | Dentist | 234 Curtiss Rd, Barksdale Afb, LA 71110 | 2018-07-09 |
| 1538577028 | Kevin Adams | Dentist | 234 Curtiss Road, Barksdale Afb, LA 71110 | 2014-07-28 |
| 1881908960 | Maria T Kalmantis | Pediatrics | University Hospital Heraklion, Heraklion, CRETE 71110 | 2010-08-02 |
| 1992931539 | Jonathan Schulze | Dentist | 40 Barksdale Blvd, Barksdale Afb, Apo, AA 71110 | 2009-06-10 |
| 1649405846 | Sylvia Jean Wimberly | Social Worker | 243 Curtis Road, Bldg. 4546, Suite 100, Barksdale Afb, LA 71110 | 2009-05-18 |
| 1730313602 | Brian W Signal | Military Health Care Provider | 243 Cutiss Rd, 2 Mdg, Barksdale Afb, LA 71110 | 2009-05-07 |
| 1720298425 | Hap House | Day Training, Developmentally Disabled Services | 244 Turner Ave., Barksdaleafb, LA 71110 | 2007-05-23 |
| 1326197435 | Gigi Briones Russel Frost | Dental Hygienist | 1067 Twining Dr., Barksdale Afb, LA 71110 | 2007-01-09 |
| 1619034824 | Lakesha Wilson | Dental Hygienist | 1067 Twinning Dr., Bossier, LA 71110 | 2007-01-03 |
| 1467551093 | 2 Nd Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | Bldg 4709, Barksdale Afb, LA 71110 | 2006-09-21 |
| Find all providers in zip 71110 | ||||
| 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 |
|---|---|---|---|---|
| 1487281937 | Laura Andrea Londono | Student in an Organized Health Care Education/Training Program | 243 Curtiss Rd, Barksdale Afb, LA 71110-2425 | 2020-03-25 |
| 1508422197 | Tanner Brunnworth | Student in an Organized Health Care Education/Training Program | 1067 Twining Dr, Barksdale Afb, LA 71110-2486 | 2019-05-19 |
| 1124217054 | Bethany Loader | Student in an Organized Health Care Education/Training Program | 243 Curtiss Rd Ste 100, Barksdale Afb, LA 71110-2425 | 2007-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202859 | Kevin Giang | Student in an Organized Health Care Education/Training Program | 3813 13th St, Harvey, LA 70058-2446 | 2020-10-13 |
| 1316553514 | Tranekka Randle | Student in an Organized Health Care Education/Training Program | 1919 W Homestead Dr, New Orleans, LA 70114-3388 | 2020-09-22 |
| 1811509748 | Mary Newell | Student in an Organized Health Care Education/Training Program | 406 Morgan St, Madisonville, LA 70447-9461 | 2020-08-21 |
| 1356953160 | Ryne Michael Smith | Student in an Organized Health Care Education/Training Program | 4124 Lake Limestone Ct, Baton Rouge, LA 70816-6409 | 2020-08-21 |
| 1366054470 | Monica Lynn Wink | Student in an Organized Health Care Education/Training Program | 3517 Tolmas Dr, Metairie, LA 70002-3819 | 2020-08-19 |
| 1730791849 | Brady Radosti | Student in an Organized Health Care Education/Training Program | 8124 Spruce St # B, New Orleans, LA 70118-2931 | 2020-08-19 |
| 1649881251 | Adam Yarochowicz | Student in an Organized Health Care Education/Training Program | 1385 Crescent Dr, Baton Rouge, LA 70806-8612 | 2020-08-17 |
| 1487265021 | Annadora Janet Bruce-keller | Student in an Organized Health Care Education/Training Program | 6324 Morgan Bend Dr, Baton Rouge, LA 70820-2002 | 2020-08-16 |
| 1841801545 | Trace M Juneau | Student in an Organized Health Care Education/Training Program | 201 Mable St, Thibodaux, LA 70301-4013 | 2020-08-14 |
| 1316558133 | Amy Bienvenu | Student in an Organized Health Care Education/Training Program | 810 Voisin St, New Orleans, LA 70124-1758 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | BARKSDALE AFB |
| Zip Code | 71110 |
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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.