AIMEE DENISE OLDHAM (NPI# 1225074719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225074719 |
Entity Type | Individual |
Full Name | AIMEE DENISE OLDHAM |
Other Name | AIMEE DENISE CLAUSSEN |
Credential | NP |
Practice Address |
3400 Medical Park Dr Ste B Monroe LA 71203-2300 |
Mailing Address |
5959 S Sherwood Forest Blvd Baton Rouge LA 70816-6038 |
Practice Telephone | 3183876803 |
Mailing Telephone | 2255260011 |
Mailing Fax Number | 2257659196 |
Enumeration Date | 2006-06-21 |
Last Update Date | 2020-04-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP09278 | LA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
71001434 | IN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200422460 | 05 | |
LA | 2452029 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
9644 Highway 165 N, Sterlington, LA 712803185 | 3189668800 | 3189668801 |
Street Address |
3400 MEDICAL PARK DR STE B |
City | MONROE |
State | LA |
Zip Code | 71203-2300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306809777 | Laura B Willsher | Nurse Practitioner | 3400 Medical Park Dr Ste B, Monroe, LA 71203-2300 | 2006-04-07 |
1003999459 | Matilda Elliott Stephens | Nurse Practitioner | 3400 Medical Park Dr Ste B, Monroe, LA 71203-2300 | 2006-10-21 |
1831123553 | David Arthur Yarbrough | Family Medicine | 3400 Medical Park Dr Ste B, Monroe, LA 71203-2300 | 2006-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801408083 | Bwilling Counseling, LLC | Counselor | 1500 North 19th Street, Monroe, La 71201, LA 71203 | 2020-08-19 |
1427683234 | Alexander Lee Forehan | Specialist/Technologist | 4099 Northeast Dr, Monroe, LA 71203 | 2020-03-12 |
1568923092 | Northeast Louisiana Veteran's Home | Department of Veterans Affairs (VA) Pharmacy | 6700 Highway 165n, Monroe, LA 71203 | 2019-03-27 |
1144708520 | Cassie Lord | Pharmacist | Brookshires, 7920 Desiard Street, Monroe, LA 71203 | 2018-07-30 |
1982196465 | Emmanuel D Hardy | Case Manager/Care Coordinator | 645 Hwy 80 East, Monroe, LA 71203 | 2018-05-31 |
1831689652 | Shereka Ruenet Devall | Counselor | 202 Lincoln Rd, Monroe, LA 71203 | 2018-05-17 |
1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
1851821912 | Niatra S Bell | Counselor | 645 Highway 80 East, Monroe, LA 71203 | 2017-06-12 |
1528597523 | Amazing Transport, LLC | Non-emergency Medical Transport (VAN) | 6300 Mosswood Dr., Monroe, LA 71203 | 2017-06-05 |
1326581737 | Charla Gix | Case Manager/Care Coordinator | 645 Us-80, Monroe, LA 71203 | 2016-12-02 |
Find all providers in zip 71203 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659972347 | Alicia Mitchell | Nurse Practitioner | 1504 Sunset Dr, Monroe, LA 71202-3612 | 2020-11-08 |
1114526662 | Angelina Fiszlewicz | Nurse Practitioner | 69 Bayberry Ln, Monroe, OH 45050-2521 | 2020-10-25 |
1447857636 | Ashley Norsworthy | Nurse Practitioner | 2600 Tower Dr Ste 216, Monroe, LA 71201-5783 | 2020-10-01 |
1417562711 | Tarshia Timothy-jackson | Nurse Practitioner | 2703 Sterlington Rd Apt 76, Monroe, LA 71203-2547 | 2020-09-13 |
1891307385 | The Community Np LLC | Nurse Practitioner | 111 Kiowa St, Monroe, LA 71203-8565 | 2020-08-18 |
1083223457 | Zydeco Healthcare LLC | Nurse Practitioner | 301 Winkler Way, Monroe, LA 71203-6530 | 2020-07-30 |
1194343442 | Courtney Paige Miletello | Nurse Practitioner | 4015 Anna Kate Ln, Monroe, LA 71201-3810 | 2020-07-13 |
1942825831 | Kristyn Devun Squyres | Nurse Practitioner | 1401 N 18th St Ste A, Monroe, LA 71201-4972 | 2020-06-16 |
1629603337 | Emily Rebecca Buddemeyer | Nurse Practitioner | 814 N Macomb St Ste 1, Monroe, MI 48162-3085 | 2020-03-03 |
1760015572 | Jessica Marie Hartle | Nurse Practitioner | 730 N Macomb St Ste 228, Monroe, MI 48162-3087 | 2020-02-20 |
Find all providers in MONROE |
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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.