AFFINITY HEALTH GROUP, LLC (NPI# 1275079030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275079030 |
Entity Type | Organization |
Organization Name | AFFINITY HEALTH GROUP, LLC |
Other Organization Name | AFFINITY BEHAVIORAL HEALTH |
Practice Address |
920 Oliver Rd Monroe LA 71201-5702 |
Mailing Address |
130 Desiard St Suite 355 Monroe LA 71201-7319 |
Practice Telephone | 3188076259 |
Practice Fax Number | 3188127347 |
Mailing Telephone | 3188077875 |
Mailing Fax Number | 3188126603 |
Enumeration Date | 2017-01-17 |
Last Update Date | 2017-01-17 |
Authorized Official Name | MISS JANET JUSTICE (DIRECTOR OF OPERATIONS) |
Authorized Official Telephone | 3188077875 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Affinity Behavioral Health | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437784907 | Affinity Health Group, LLC | Internal Medicine | 13348 Coursey Blvd, Baton Rouge, LA 70816-4970 | 2020-03-05 |
1457822991 | Affinity Health Group, LLC | Family Medicine | 920 Oliver Rd Ste A2, Monroe, LA 71201-5702 | 2018-12-10 |
1104274075 | Affinity Health Group, LLC | Clinical Medical Laboratory | 2516 Broadmoor Boulevard, Suite 1c, Monroe, LA 71201 | 2016-06-01 |
1427414549 | Affinity Health Group, LLC | Clinical Nurse Specialist | 1000 Jonesboro Rd, Beverage Division Plant 70, West Monroe, LA 71292-5925 | 2016-01-05 |
1316352677 | Affinity Health Group, LLC | Internal Medicine | 1 Bancroft Cir, Monroe, LA 71201-5101 | 2014-06-25 |
1750667481 | Affinity Health Group, LLC | Dietitian, Registered | 2408 Broadmoor Blvd Ste B, Monroe, LA 71201-2994 | 2011-10-26 |
1669767638 | Affinity Health Group, LLC | Dietitian, Registered | 920 Oliver Rd # J, Monroe, LA 71201-5702 | 2011-06-17 |
1023291226 | Affinity Health Group, LLC | Internal Medicine | 112 Saint. John Street, Monroe, LA 71201 | 2007-12-11 |
1902850035 | Affinity Health Group, LLC | Family Medicine | 261 Hwy 132, Mangham, LA 71259-0219 | 2006-05-22 |
1922617299 | Affinity Health Group, LLC | Pharmacy | 110 Saint John St, Monroe, LA 71201-7322 | 2020-07-23 |
Street Address |
920 OLIVER RD |
City | MONROE |
State | LA |
Zip Code | 71201-5702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013916253 | Barrington L Ricks | Pediatrics | 920 Oliver Rd, Suite 3, Monroe, LA 71201-5702 | 2005-07-19 |
1225662653 | Leigh Pierre | Nurse Practitioner | 920 Oliver Rd, Monroe, LA 71201-5702 | 2020-02-25 |
1750943726 | Marbie Nicole Becton | Nurse Practitioner | 920 Oliver Rd, Monroe, LA 71201-5702 | 2019-07-01 |
1992367833 | Mallory Middleton | Nurse Practitioner | 920 Oliver Rd, Monroe, LA 71201-5702 | 2019-07-01 |
1568028611 | Sierra G Norwood | Registered Nurse | 920 Oliver Rd, Monroe, LA 71201-5702 | 2019-05-14 |
1033775184 | Cynthia Turner | Registered Nurse | 920 Oliver Rd, Monroe, LA 71201-5702 | 2019-05-14 |
1366008500 | Katrina Gipson | Registered Nurse | 920 Oliver Rd, Monroe, LA 71201-5702 | 2019-05-14 |
1710453253 | Affinity Health Gorup, LLC | Orthopaedic Surgery | 920 Oliver Rd, Waiting Area L, Monroe, LA 71201-5702 | 2018-10-23 |
1912487869 | Annsley Walden Ray | Nurse Practitioner | 920 Oliver Rd, Monroe, LA 71201-5702 | 2018-08-20 |
1992219786 | Affinity Health Group LLC | Family Medicine | 920 Oliver Rd, Monroe, LA 71201-5702 | 2017-12-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
Find all providers in zip 71201 |
Taxonomy Code | 2084B0040X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Behavioral Neurology & Neuropsychiatry |
Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093219081 | Neuropsychiatry Services LLC | Psychiatry & Neurology | 7714 La Hwy 700, Kaplan, LA 70548-6121 | 2018-03-22 |
1518460211 | Deepblue Wellness LLC | Psychiatry & Neurology | 4421 Conlin St Ste 101, Metairie, LA 70006-2145 | 2018-03-09 |
1063849537 | Gensis Center LLC | Psychiatry & Neurology | 11721 Market Place Ave, Baton Rouge, LA 70816-6012 | 2013-09-30 |
1295751006 | Terry J Lain | Psychiatry & Neurology | 5610 Read Blvd, New Orleans, LA 70127-3106 | 2006-07-14 |
1497966907 | Kyle K. Runnels | Psychiatry & Neurology | 9091 Ellerbe Rd, Suite 200 B, Shreveport, LA 71106-6738 | 2007-05-25 |
1679582928 | Katherine Hester Smith | Psychiatry & Neurology | 1010 Common St, New Orleans, LA 70112-2401 | 2006-08-05 |
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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.