GAIL JONES PROVOST (NPI# 1174166748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174166748 |
Entity Type | Individual |
Full Name | GAIL JONES PROVOST |
Practice Address |
9954 Lake Forest Blvd Ste 5 New Orleans LA 70127-5498 |
Mailing Address |
7730 Windward Ct New Orleans LA 70128-1339 |
Practice Telephone | 5042372189 |
Practice Fax Number | 5042411649 |
Mailing Telephone | 5042372189 |
Mailing Fax Number | 5042411649 |
Enumeration Date | 2019-10-25 |
Last Update Date | 2019-10-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 246RM2200X |
Technician, Pathology Specialization: Medical Laboratory |
LA | Technologists, Technicians & Other Technical Service Providers | |
Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
LA | Technologists, Technicians & Other Technical Service Providers |
Street Address |
9954 LAKE FOREST BLVD STE 5 |
City | NEW ORLEANS |
State | LA |
Zip Code | 70127-5498 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114567302 | Ruth Bermudez | Peer Specialist | 4747 Earhart Blvd Suite D, New Orleans, LA 70127 | 2020-01-15 |
1457830036 | Generations Health Inc | Case Manager/Care Coordinator | 8000 Crowder Blvd Ste B, New Orleans, LA 70127 | 2018-08-14 |
1881189066 | Gwendolyn A Brown | Psychologist | 9840 Andover Dr, New Orleans, LA 70127 | 2018-06-29 |
1407349095 | Impressive Diagnostics | Pathology | 7011 Read Blvd Ste I, New Orleans, LA 70127 | 2018-06-08 |
1528555760 | Traveling Grace Transportation Service LLC | Military/U.S. Coast Guard Transport | 7520 Shubrick Street, New Orleans, LA 70127 | 2018-04-13 |
1417450420 | Shannon Louella Bullock | Counselor | 10711 Vienna St, New Orleans, LA 70127 | 2018-03-15 |
1942719026 | Brianna Truffa | Counselor | 10001 Lake Forest Blvd., Suite 302, New Orleans, LA 70127 | 2017-09-21 |
1609303338 | Briana Alphonse | Counselor | 7240 Crowder Boulevard, Suite 202, New Orleans, LA 70127 | 2017-05-12 |
1679006720 | Michele Torregano | Case Manager/Care Coordinator | 10110 Deerfield Dr, New Orleans, LA 70127 | 2017-04-05 |
1083152128 | Keisha Black | Counselor | 8470 Morrison Road, Suite A, New Orleans, LA 70127 | 2017-02-09 |
Find all providers in zip 70127 |
Taxonomy Code | 247ZC0005X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Pathology |
Specialization | Clinical Laboratory Director, Non-physician |
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407349095 | Impressive Diagnostics | Pathology | 7011 Read Blvd Ste I, New Orleans, LA 70127 | 2018-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053823153 | Danny Glenn Chance Jr. | Pathology | 3101 Cypress St Ste 6, West Monroe, LA 71291-5291 | 2017-10-30 |
City | NEW ORLEANS |
Zip Code | 70127 |
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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.