ZACH ALLEN ELLENDER (NPI# 1285003657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285003657 |
| Entity Type | Individual |
| Full Name | ZACH ALLEN ELLENDER |
| Practice Address |
2 Audubon Ct Apt C Thibodaux LA 70301-4948 |
| Practice Telephone | 3528049922 |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2 AUDUBON CT APT C |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70301-4948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| 1982112348 | Katie Leblanc | Massage Therapist | 1115 St. Mary Street, Thibodaux, LA 70301 | 2018-01-18 |
| 1154837391 | Texas Digestive Disease Consultants, Pllc | Internal Medicine | 764 North Acadia Road, Suite A, Thibodaux, LA 70301 | 2017-12-26 |
| 1235648239 | Speech and Feeding Therapy, LLC | Speech-Language Pathologist | 1000 Plantation Rd Ste 1a, Thibodaux, LA 70301 | 2017-09-22 |
| 1285150466 | Tara Payne | Counselor | 303 Hickory Street, Thibodaux, LA 70301 | 2017-08-18 |
| 1427583475 | Tyler Pettigrew | Counselor | 300 Plantation Rd., Apt #24, Thibodaux, LA 70301 | 2017-04-27 |
| 1750825758 | Jessica Barquet | Counselor | 110 Palm Villa Dr Apt 1, Thibodaux, LA 70301 | 2016-12-09 |
| 1013468230 | Shenee Haas Gros | Counselor | 504 Cherry St., Thibodaux, LA 70301 | 2016-10-24 |
| 1982155388 | Southern Ent Associates Inc | Audiologist | 604 North Acadia Road Suite 101, Thibodaux, LA 70301 | 2016-10-20 |
| 1215483888 | Lesheeca Norman, Lpc | Counselor | 306 Victoria Court, Thibodaux, LA 70301 | 2016-09-01 |
| Find all providers in zip 70301 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801545 | Trace M Juneau | Student in an Organized Health Care Education/Training Program | 201 Mable St, Thibodaux, LA 70301-4013 | 2020-08-14 |
| 1659907905 | Ryan David Kliebert | Student in an Organized Health Care Education/Training Program | 1032 Highway 20 Lot 1, Thibodaux, LA 70301-6237 | 2020-03-19 |
| 1174083620 | Caroline Camille Robichaux | Student in an Organized Health Care Education/Training Program | 128 Grand Lakes Dr, Thibodaux, LA 70301-1610 | 2019-03-21 |
| 1205334265 | Harley Elizabeth Benoit | Student in an Organized Health Care Education/Training Program | 906 East First Street, Thibodaux, LA 70310-7311 | 2018-01-24 |
| 1912448200 | Andrew Aubin | Student in an Organized Health Care Education/Training Program | 212 Banker Dr, Thibodaux, LA 70301-8016 | 2017-03-20 |
| 1902347206 | Nicholas Algu | Student in an Organized Health Care Education/Training Program | 214 Rienzi Dr, Thibodaux, LA 70301-2923 | 2017-03-20 |
| 1073057048 | Tate Aucoin | Student in an Organized Health Care Education/Training Program | 2553 Highway 1, Thibodaux, LA 70301-5844 | 2016-12-11 |
| 1962871152 | Morgan Chiasson | Student in an Organized Health Care Education/Training Program | 1265a Hwy 20, Thibodaux, LA 70301 | 2015-09-18 |
| 1205204716 | Tammy My Huyen Nguyen | Student in an Organized Health Care Education/Training Program | 115-a Betsy Cheramie Ayo Hl, Thibodaux, LA 70310-0001 | 2015-09-14 |
| 1336517937 | Carleigh Gilfour | Student in an Organized Health Care Education/Training Program | 103 S Sugarfield Dr, Thibodaux, LA 70301-9449 | 2015-09-13 |
| Find all providers in THIBODAUX | ||||
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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.