REJUVENATE HEALTH CHIROPRACTIC (NPI# 1255655239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255655239 |
| Entity Type | Organization |
| Organization Name | REJUVENATE HEALTH CHIROPRACTIC |
| Practice Address |
751 Bayou Pines East Dr Suite R Lake Charles LA 70601-7196 |
| Mailing Address |
1717 E Belt Line Rd Apt 924 Coppell TX 75019-4231 |
| Practice Telephone | 3378026497 |
| Mailing Telephone | 3378026497 |
| Mailing Fax Number | 9729473992 |
| Enumeration Date | 2010-03-20 |
| Last Update Date | 2010-03-20 |
| Authorized Official Name | DR. ATHENA MARIE PAYNE (OWNER/CHIROPRACTOR) |
| Authorized Official Telephone | 3378026497 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1556 | LA | Chiropractic Providers |
| Street Address |
751 BAYOU PINES EAST DR SUITE R |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601-7196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306021282 | John Shane Mallett | Anesthesiology | 751 Bayou Pines East Dr, Suite L, Lake Charles, LA 70601-7196 | 2008-01-09 |
| 1972131191 | Ursula Andria Francis | Peer Specialist | 751 Bayou Pines East Dr, Lake Charles, LA 70601-7196 | 2020-04-01 |
| 1275060519 | Michael Cook | Case Manager/Care Coordinator | 751 Bayou Pines East Dr, Lake Charles, LA 70601-7196 | 2017-05-17 |
| 1629517933 | Amanda Deanne Lamb | Counselor | 751 Bayou Pines East Dr, Suite C, Lake Charles, LA 70601-7196 | 2017-02-20 |
| 1811434160 | Amy Pierrottie | Counselor | 751 Bayou Pines East Dr, Suite C, Lake Charles, LA 70601-7196 | 2017-01-25 |
| 1760926067 | Javeria Arshad | Counselor | 751 Bayou Pines East Dr, Suite C, Lake Charles, LA 70601-7196 | 2016-12-06 |
| 1770026809 | Jowanna Gay | Counselor | 751 Bayou Pines East Dr, Suite C, Lake Charles, LA 70601-7196 | 2016-11-21 |
| 1124570056 | Terrilyn Jones | Counselor | 751 Bayou Pines East Dr, Suite C, Lake Charles, LA 70601-7196 | 2016-10-26 |
| 1285186197 | Shantell Shinnette | Counselor | 751 Bayou Pines East Dr, Suite C, Lake Charles, LA 70601-7196 | 2016-10-26 |
| 1821448671 | Christopher Niles | Counselor | 751 Bayou Pines East Dr, Suite C, Lake Charles, LA 70601 | 2016-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1770053902 | Antonio Rivera | Chiropractor | 2625 Dillard Loop, Suite C, Lake Charles, LA 70607 | 2018-11-30 |
| 1760997241 | Joseph A Livergood, Dc, LLC | Chiropractor | 640 Dr Michael Debakey Dr, Lake Charles, LA 70601-5727 | 2017-12-06 |
| 1487039665 | Mayfield Chiropractic Lake Charles | Chiropractor | 3101 Lake St Ste 101, Lake Charles, LA 70601-8337 | 2015-07-29 |
| 1093116451 | Kaleb Deshotel | Chiropractor | 2626 Country Club Rd, Lake Charles, LA 70605-5912 | 2014-09-04 |
| 1891122594 | Ultimate Performance Chiropractic & Rehab, LLC | Chiropractor | 646 W. Mcneese Street, Lake Charles, LA 70605 | 2013-09-26 |
| 1871866756 | Kyle Anthony Daigle | Chiropractor | 313 Alamo Street, Suite B, Lake Charles, LA 70601-8528 | 2012-02-22 |
| 1972876845 | Jeremy Ross Ward | Chiropractor | 4211 Lake Street, Suite 20, Lake Charles, LA 70605 | 2012-02-22 |
| 1013299676 | Joseph A Livergood | Chiropractor | 730 Bayou Pines East Dr Ste A, Lake Charles, LA 70601-7494 | 2011-09-09 |
| 1649571936 | D A Hamer, D C (pc) | Chiropractor | 2903 Common St, Lake Charles, LA 70601-8534 | 2010-11-03 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
Please comment or provide details below to improve the information on REJUVENATE HEALTH CHIROPRACTIC.
| 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.