CLINT COOKSEY (NPI# 1205217064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205217064 |
| Entity Type | Individual |
| Full Name | CLINT COOKSEY |
| Credential | FNP-C |
| Practice Address |
187 Ninth St Jena LA 71342-3900 |
| Mailing Address |
3721 Highway 459 Jena LA 71342-6461 |
| Practice Telephone | 3189929200 |
| Mailing Telephone | 3183120943 |
| Mailing Fax Number | 3189929245 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP08337 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
187 NINTH ST |
| City | JENA |
| State | LA |
| Zip Code | 71342-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962493601 | Roy Steven Johnson | Nurse Anesthetist, Certified Registered | 187 Ninth St, Jena, LA 71342-3901 | 2005-11-02 |
| 1235522871 | Hospital Service District #2 of Lasalle Parish | Ambulance | 187 Ninth St, Jena, LA 71342-3900 | 2015-03-06 |
| 1336435387 | Jereme Brian Johnson | Physical Medicine & Rehabilitation | 187 Ninth St, Jena, LA 71342-2780 | 2011-06-28 |
| 1992027775 | Matthew Jackson | Physical Therapist | 187 Ninth St, Jena, LA 71342-2780 | 2010-02-22 |
| 1265626477 | Patrice P Flaherty | General Practice | 187 Ninth St, Jena, LA 71342-3901 | 2007-08-30 |
| 1710004189 | Amanda Price | Speech-Language Pathologist | 187 Ninth St, Jena, LA 71342-2780 | 2007-03-23 |
| 1174640056 | Jamie R. Tubre | Pharmacist | 187 Ninth St, Jena, LA 71342-2780 | 2007-03-23 |
| 1760509152 | Lisa Deville | Pharmacy Technician | 187 Ninth St, Jena, LA 71342-2780 | 2007-03-23 |
| 1285751644 | Julie Bird | Occupational Therapist | 187 Ninth St, Jena, LA 71342-2780 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881218162 | Just Health | Clinic/Center | 2083 S 2nd St, Jena, LA 71342 | 2020-06-03 |
| 1730722471 | Dm Properties of Lafayette, LLC | Clinic/Center | 3662 W Oak St, Jena, LA 71342 | 2019-10-25 |
| 1184160335 | Ashley Smith | Counselor | 842 W Bradford St, Jena, LA 71342 | 2017-01-12 |
| 1922452788 | Sandra Melvin | Case Manager/Care Coordinator | 3683 Hwy 127 South, Jena, LA 71342 | 2016-04-19 |
| 1962860478 | Jennifer Allemand | Case Manager/Care Coordinator | 3683 S First Street, Jena, LA 71342 | 2016-01-29 |
| 1801253521 | Jasmine Furlow | Counselor | 842 West Bradford, Jena, LA 71342 | 2016-01-26 |
| 1760855035 | Kathryn Long | Case Manager/Care Coordinator | 3863 South First Street, Jena, LA 71342 | 2015-11-09 |
| 1417207200 | Mayo Physical Therapy LLC | Clinic/Center | 12023 Highway 84 West, Jena, LA 71342 | 2012-09-19 |
| 1568736718 | Laverne M Paul | Counselor | 1737 N.2nd Street, Suite B, Jena, LA 71342 | 2012-03-06 |
| 1528359163 | Rebecca W Zeagler | Chiropractor | 12051 Hwy 84 W, Jena, LA 71342 | 2011-05-01 |
| Find all providers in zip 71342 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922303981 | Margarette Hall Lenard | Nurse Practitioner | 830 Pinehill Rd, Jena, LA 71342-4137 | 2011-01-21 |
| 1245535509 | Janee Danielle Smith | Nurse Practitioner | 930 Pinehill Rd, Jena, LA 71342 | 2011-01-18 |
| 1053973693 | Kathy Lambeth | Nurse Practitioner | 155 Ninth St, Jena, LA 71342-3900 | 2019-07-03 |
| 1508201377 | Tina Ann Perron | Nurse Practitioner | 830 Pinehill Rd, Jena, LA 71342-4137 | 2013-05-07 |
| 1477894905 | Ihsc @ Lasalle Detention Facility | Nurse Practitioner | 830 Pinehill Rd, Jena, LA 71342-4137 | 2013-03-07 |
| 1215248935 | Allison Rebecca Kendrick-hodges | Nurse Practitioner | 180 Ninth St, Suite J, Jena, LA 71342 | 2010-06-28 |
| 1225266067 | Kristen Johnson | Nurse Practitioner | 180 Ninth St, Jena, LA 71342-3900 | 2009-07-01 |
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|---|---|---|---|---|
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| 1902407190 | Amy Schulin Long | Nurse Practitioner | 2800 Veterans Memorial Blvd Ste 102, Metairie, LA 70002-6172 | 2020-11-04 |
| 1053911339 | Walter Matheny II | Nurse Practitioner | 216 W Union Street Ste A Minden, Minden, LA 71055 | 2020-10-27 |
| 1568061950 | Kecia Clark | Nurse Practitioner | 3009 Englewood Dr, Jennings, LA 70546-3266 | 2020-10-19 |
| 1225636012 | Jennifer Castro Ledet | Nurse Practitioner | 689 English Oak Dr, Madisonville, LA 70447-3179 | 2020-10-14 |
| 1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
| 1447857636 | Ashley Norsworthy | Nurse Practitioner | 2600 Tower Dr Ste 216, Monroe, LA 71201-5783 | 2020-10-01 |
| 1629684923 | On -demand Healthcare of Louisiana LLC | Nurse Practitioner | 12109 Hampton Village Ave, Baton Rouge, LA 70818-5741 | 2020-09-22 |
| 1528674280 | Acadiana Wound & Ostomy On Wheels | Nurse Practitioner | 218 Division Street, Krotz Springs, LA 70750 | 2020-09-18 |
| 1841806775 | Shelia M Reliford | Nurse Practitioner | 3928 Balcom St, Shreveport, LA 71109-5004 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
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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.