JANEL NICOLE TEDESCO (NPI# 1356398465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356398465 |
| Entity Type | Individual |
| Full Name | JANEL NICOLE TEDESCO |
| Credential | ACNP |
| Practice Address |
15790 Paul Vega Dr Hammond LA 70403-1436 |
| Mailing Address |
1001 N Waldrop Dr Ste 509 Arlington TX 76012-4703 |
| Practice Telephone | 9852303066 |
| Practice Fax Number | 9852302072 |
| Mailing Telephone | 8173944300 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2018-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP09592 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
687805 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 183678501 | 05 |
| Street Address |
15790 PAUL VEGA DR |
| City | HAMMOND |
| State | LA |
| Zip Code | 70403-1436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922081025 | Robert D Reinhart | Radiology | 15790 Paul Vega Dr, Department of Radiology, Hammond, LA 70403-1434 | 2005-11-22 |
| 1891286910 | Kathleen Schneider | Dietitian, Registered | 15790 Paul Vega Dr, Hammond, LA 70403-1436 | 2018-05-24 |
| 1023508041 | Brittany Michelle Zimmer | Nurse Practitioner | 15790 Paul Vega Dr, Hammond, LA 70403-1436 | 2018-05-15 |
| 1295144491 | Patrick Sheehan | Emergency Medicine | 15790 Paul Vega Dr, Hammond, LA 70403 | 2014-08-13 |
| 1174865968 | Sean Michael Gipson | Radiology | 15790 Paul Vega Dr, Hammond, LA 70403-1436 | 2013-03-20 |
| 1639116585 | Daniel A Bayhi | Anesthesiology | 15790 Paul Vega Dr, Hammond, LA 70403-1434 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074403 | Elizabeth M Norman | Nurse Practitioner | 19065 Dr John Lambert Drive, Hammond, LA 70403 | 2020-02-06 |
| 1942830757 | Trinity Wellness Counseling LLC. | Social Worker | 43171 Tillman Dr, Hammond, LA 70403 | 2020-01-21 |
| 1407419138 | Cypress Pointe Urgent Care, LLC | Clinic/Center | 19065 Dr. John Lambert Drive, Hammond, LA 70403 | 2019-04-18 |
| 1700341724 | Taylor Kioria Johnson | Specialist/Technologist | 40151 Macedonia Rd, Hammond, LA 70403 | 2019-02-04 |
| 1912478264 | Julean Marie Walters | Behavioral Analyst | 1250 Sw Railroad Ave., Suite 130, Hammond, LA - LOUISIANA 70403 | 2018-12-16 |
| 1659849263 | Andie Street | Speech-Language Pathologist | 1000 Cm Fagan Drive, Unit C, Hammond, LA 70403 | 2018-11-13 |
| 1932684701 | Kurt Edwin Dichiara | Chiropractor | 1330 S Magnolia St, Suite B, Hammond, LA 70403 | 2018-09-27 |
| 1225529175 | Heart To Heart Counseling & Counseling | Social Worker | 30430 Dawson Ln, Hammond, LA 70403 | 2018-05-27 |
| 1477041630 | Epiphany Healthcare of Hammond | Psychiatry & Neurology | 906 Cm Fagan Drive Bldg A Ste 6a, Hammond, LA 70403 | 2018-04-24 |
| 1457850158 | Dynamic Performance Chiropractic of Hammond | Chiropractor | 1330 South Magnolia, Suite B, Hammond, LA 70403 | 2018-02-08 |
| Find all providers in zip 70403 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144836115 | Whitney Lashua | Nurse Practitioner | 15813 Paul Vega Md Dr Ste 401a, Hammond, LA 70403-1426 | 2020-09-16 |
| 1487267456 | Adrienne Hymel Holdridge | Nurse Practitioner | 15790 Paul Vega Md Dr, Hammond, LA 70403-1434 | 2020-08-28 |
| 1003301375 | Kristen King | Nurse Practitioner | 15790 Paul Vega Md Dr, Hammond, LA 70403-1436 | 2018-06-28 |
| 1033630553 | Laura Kathleen Davis | Nurse Practitioner | 16026 Doctors Blvd, Hammond, LA 70403-1478 | 2017-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293355 | Sheronica V Simmons | Nurse Practitioner | 2751 Albert L Bicknell Dr Ste 3c, Shreveport, LA 71103-3943 | 2020-10-25 |
| 1699372169 | Alexis Christian | Nurse Practitioner | 4319 Carter St, Vidalia, LA 71373-3152 | 2020-10-07 |
| 1669087607 | Stella Yonga | Nurse Practitioner | 5913 Bocage Dr, Alexandria, LA 71303-2190 | 2020-09-15 |
| 1366056871 | Terry Lynn Jackson | Nurse Practitioner | 4922 General Ashley Dr, Bossier City, LA 71112-4764 | 2020-09-02 |
| 1285272641 | Elizabeth Grace Robinson | Nurse Practitioner | 5717 Lake Side Dr, Bossier City, LA 71111-5509 | 2019-12-17 |
| 1316410236 | Tanya Nicole Slayter | Nurse Practitioner | 1811 E Bert Koun Loop Ste 210, Shreveport, LA 71105-5740 | 2019-01-03 |
| 1114402013 | Hayley Mitchell | Nurse Practitioner | 200 W Esplanade Ave Ste 103, Kenner, LA 70065-2473 | 2018-09-27 |
| 1679061279 | Antonya Williams | Nurse Practitioner | 9419 Amity Way, Shreveport, LA 71118-3601 | 2018-04-29 |
| 1073013702 | Holly Holmes Leonhard | Nurse Practitioner | 648 Crestwood Dr, Covington, LA 70433 | 2018-02-19 |
| 1932649837 | Stephanie Johnson | Nurse Practitioner | 37082 Agnes Webb Ave, Prairieville, LA 70769-3397 | 2017-02-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JANEL NICOLE TEDESCO.
| 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.