MRS. JALISA MARIE DYER (NPI# 1225691769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225691769 |
| Entity Type | Individual |
| Full Name | MRS. JALISA MARIE DYER |
| Credential | WHNP |
| Practice Address |
3825 Government St Baton Rouge LA 70806-5725 |
| Mailing Address |
367 Florida St Roxie MS 39661-5003 |
| Practice Telephone | 2253871167 |
| Mailing Telephone | 6016208303 |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2020-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 903301 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
214139 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
903301 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 54 Sgt Prentiss Dr, Natchez, MS 391204726 | 6014432100 |
| Street Address |
3825 GOVERNMENT ST |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-5725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396978227 | Debra Norwood Welton | Registered Nurse | 3825 Government St, Baton Rouge, LA 70806-5725 | 2009-08-26 |
| 1629687934 | Latoya M Barnes | Nurse Practitioner | 3825 Government St, Baton Rouge, LA 70806-5725 | 2020-07-23 |
| 1699206441 | Richshell Marie Smith | Nurse Practitioner | 3825 Government St, Baton Rouge, LA 70806-5725 | 2017-03-23 |
| 1821372277 | Planned Parenthood Gulf Coast, Inc. | Clinic/Center | 3825 Government St, Baton Rouge, LA 70806 | 2011-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396233078 | Megan C Riley | Nurse Practitioner | 100 Womans Way Ste 407, Baton Rouge, LA 70817-5100 | 2018-04-27 |
| 1073005435 | Womans Outpatient Clinic Providers | Nurse Practitioner | 500 Rue De La Vie St Ste 407, Baton Rouge, LA 70817-5128 | 2018-06-01 |
| 1932621190 | Laketra Whitney | Nurse Practitioner | 8595 Picardy Ave, Baton Rouge, LA 70809-3670 | 2017-07-10 |
| 1699206441 | Richshell Marie Smith | Nurse Practitioner | 3825 Government St, Baton Rouge, LA 70806-5725 | 2017-03-23 |
| 1811448038 | Ungelica Rose Moses | Nurse Practitioner | 500 Rue De La Vie St, Suite 310, Baton Rouge, LA 70817-5127 | 2016-10-24 |
| 1770842924 | Erin Michel | Nurse Practitioner | 8595 Picardy Ave, Suite 320, Baton Rouge, LA 70809-3670 | 2012-05-09 |
| 1619255171 | Donna G Hebert | Nurse Practitioner | 500 Rue De La Vie, Suite 413, Baton Rouge, LA 70817-5128 | 2011-08-01 |
| 1881989572 | Jamie M Roques | Nurse Practitioner | 3801 North Blvd, Baton Rouge, LA 70806-3825 | 2011-06-10 |
| 1508093402 | Crystal Paige Traylor | Nurse Practitioner | 6400 Perkins Rd, Baton Rouge, LA 70808-4124 | 2009-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093349078 | Alysha Hinson | Nurse Practitioner | 1455 E Bert Kouns Industrial Loop Ste 306, Shreveport, LA 71105-5634 | 2020-02-27 |
| 1316591126 | Heather Jaet Simon | Nurse Practitioner | 113 Brewster Rd, Madisonville, LA 70447-9579 | 2019-07-30 |
| 1356759153 | Mary Tillman Acosta | Nurse Practitioner | 8001 Youree Dr Ste 320, Shreveport, LA 71115-2354 | 2014-07-24 |
| 1710226204 | Tara Rae Thompson | Nurse Practitioner | 5604 Coliseum Blvd Ste B, Alexandria, LA 71303-3993 | 2013-02-04 |
| 1942585591 | Iph, Slidel LLC | Nurse Practitioner | 2364 Gause Blvd E Ste 101, Slidell, LA 70461-4141 | 2011-10-14 |
| 1265725402 | Katherine Maranto Salley | Nurse Practitioner | 827 Margaret Pl, Suite 201, Shreveport, LA 71101-4523 | 2011-05-20 |
| 1225361827 | Paulette Guidry Landry | Nurse Practitioner | U L Lafayette Student Health, 120 Boucher Dr., Lafayette, LA 70504-0001 | 2009-09-14 |
| 1467695700 | Heather M Lenox | Nurse Practitioner | 4540 Amb Caffery Pkwy, Ste C 220, Lafayette, LA 70508-6928 | 2009-04-16 |
| 1447413828 | Monica Valenti Smith | Nurse Practitioner | 806-b Riverside Drive, Franklinton, LA 70438-3688 | 2008-07-07 |
| 1578720785 | Tamla T Pierre | Nurse Practitioner | 6010 S Muirfield Cir, New Orleans, LA 70128-3655 | 2008-05-16 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
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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.