KATIE BROOKE DESHOTEL (NPI# 1205343183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205343183 |
| Entity Type | Individual |
| Full Name | KATIE BROOKE DESHOTEL |
| Credential | APRN WHNP |
| Practice Address |
805 Cherry St Mamou LA 70554-2223 |
| Practice Telephone | 3374689011 |
| Practice Fax Number | 3374682702 |
| Mailing Telephone | 3374689011 |
| Mailing Fax Number | 3374682702 |
| Enumeration Date | 2018-01-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP08489 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP08489 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 119 Hospital Dr, Oakdale, LA 714633034 | 3183350260 | 3183353356 |
| Street Address |
805 CHERRY ST |
| City | MAMOU |
| State | LA |
| Zip Code | 70554-2223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750311478 | Upendra M Kulkarni | Obstetrics & Gynecology | 805 Cherry St, Mamou, LA 70554-2223 | 2006-07-05 |
| 1891147849 | Craig Matthew Kidder I | Nurse Practitioner | 805 Cherry St, Mamou, LA 70554-2223 | 2016-07-01 |
| 1972950996 | Women's Medical & Surgical Clinic, Inc. | Clinic/Center | 805 Cherry St, Mamou, LA 70554-2223 | 2016-05-19 |
| 1881948354 | Women's Clinic of Oakdale, L.L.C. | Obstetrics & Gynecology | 805 Cherry St, Suite A, Mamou, LA 70554-2223 | 2012-11-05 |
| 1447483110 | Women's Medical & Surgical Clinic, Inc. | Obstetrics & Gynecology | 805 Cherry St, Mamou, LA 70554-2223 | 2009-08-28 |
| 1982837977 | Katy Jones | Nurse Practitioner | 805 Cherry St, Mamou, LA 70554-2223 | 2009-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891328498 | Sarah Marie Thibodeaux | Behavioral Analyst | 601 Poinciana Avenue, Mamou, LA 70554 | 2020-02-21 |
| 1942739404 | Lisa Jack | Counselor | 613 East St, Mamou, LA 70554 | 2017-06-08 |
| 1225359136 | Juanita Golemon Moorman | Social Worker | 1610 6th St, Mamou, LA 70554 | 2010-06-15 |
| 1164485173 | Hossam Abdelmonem Abdel-rahman | Internal Medicine | 803 Poinciana Ave, Mamou, LA 70554 | 2006-04-10 |
| 1265730485 | Savoy Medical Management Group, Inc | Rehabilitation Unit | 801 Poinciana Ave, Mamou, LA 70554 | 2011-03-11 |
| 1760714497 | Savoy Medical Management Group, Inc. | General Acute Care Hospital | 801 Poinciana Ave, Mamou, LA 70554 | 2010-02-05 |
| 1477882033 | Savoy Medical Management Group, Inc. | General Acute Care Hospital | 801 Poinciana Ave, Mamou, LA 70554 | 2009-12-10 |
| 1144557927 | Savoy Medical Management Group, Inc. | Rehabilitation Unit | 801 Poinciana Ave, Mamou, LA 70554 | 2009-11-16 |
| 1801122585 | Savoy Medical Management Group, Inc. | Psychiatric Unit | 1610 7th St, Mamou, LA 70554 | 2009-10-30 |
| 1255667002 | Savoy Medical Management Group, Inc. | General Acute Care Hospital | 801 Poinciana Ave, Mamou, LA 70554 | 2009-10-29 |
| Find all providers in zip 70554 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679766455 | Mary Amelia Duncan | Nurse Practitioner | 704 Poinciana Ave, Suite C, Mamou, LA 70554-2224 | 2007-08-24 |
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| 1023620259 | Caroline Hebert | Nurse Practitioner | 1297 Saint Charles St Ste H, Houma, LA 70360-2869 | 2020-08-19 |
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| 1356951396 | Advance Clinical Associates LLC | Nurse Practitioner | 2505 Cypress Springs Ave, Ruston, LA 71270-5109 | 2020-08-05 |
| 1487264594 | Neely Primary | Nurse Practitioner | 102 Independence Blvd, Lafayette, LA 70506-6085 | 2020-08-04 |
| 1225648629 | Indria Kendrick | Nurse Practitioner | 62 Creduer Rd, Pineville, LA 71360-9165 | 2020-07-31 |
| 1770192171 | Celeste Woodard Brown | Nurse Practitioner | 751 Bayou Pines East Dr Ste L, Lake Charles, LA 70601-7196 | 2020-07-31 |
| 1306455498 | Headache Center Nola, LLC | Nurse Practitioner | 2221 Clearview Pkwy Ste 203, Metairie, LA 70001-2497 | 2020-07-24 |
| 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.