MS. ALISA DUST HAMNER


Address: 7301 Hennessy Blvd, #200, Baton Rouge, LA 70808
Phone: 2257660050

MS. ALISA DUST HAMNER (NPI# 1366751422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366751422
Entity Type Individual
Full Name MS. ALISA DUST HAMNER
Credential PHYSICIAN ASSISTANT
Practice Address 7301 Hennessy Blvd
#200
Baton Rouge
LA 70808
Mailing Address Po Box 98035
Baton Rouge
LA 70898
Practice Telephone 2257660050
Practice Fax Number 2257661499
Mailing Telephone 2257660050
Mailing Fax Number 2257661499
Enumeration Date 2010-10-06
Last Update Date 2015-12-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA.200382 LA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 7301 HENNESSY BLVD
#200
City BATON ROUGE
State LA
Zip Code 70808

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679579759 Otto Christian Hall Podiatrist 7301 Hennessy Blvd, #200, Baton Rouge, LA 70808 2005-06-23
1255826194 Adam Marshall Specialist/Technologist 7301 Hennessy Blvd, Baton Rouge, LA 70808-4793 2018-06-23
1659731024 Carrie Oberlander Nurse Practitioner 7301 Hennessy Blvd, Suite 200, Baton Rouge, LA 70808-4793 2016-02-29
1750784864 Mark Hammonds Physician Assistant 7301 Hennessy Blvd, Suite 200, Baton Rouge, LA 70808-4384 2014-10-02
1154750818 Steven Presley Physician Assistant 7301 Hennessy Blvd, Suite 200, Baton Rouge, LA 70808-4384 2013-11-04
1619318110 Bridget Sellars Nurse Practitioner 7301 Hennessy Blvd, Suite 200, Baton Rouge, LA 70808-4384 2013-07-12
1528402013 Candice Mixon Physical Therapist 7301 Hennessy Blvd, Suite 101, Baton Rouge, LA 70808-4384 2013-04-26
1770834475 Carlen Sloan Physician Assistant 7301 Hennessy Blvd, Suite 200, Baton Rouge, LA 70808-4384 2012-09-21
1760731764 Christian Jacomine Physician Assistant 7301 Hennessy Blvd, Suite 200, Baton Rouge, LA 70808-4384 2012-09-05
1518232909 Jennifer West Specialist/Technologist, Other 7301 Hennessy Blvd, Suite 200, Baton Rouge, LA 70808-4384 2012-03-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790313161 Leah Michelle Dlugolecki Student in an Organized Health Care Education/Training Program Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 2020-03-31
1003376302 Kristina Pham Student in an Organized Health Care Education/Training Program 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 2019-03-22
1083174486 John Jay Hogan Student in an Organized Health Care Education/Training Program Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 2019-03-21
1033682075 Joseph Bertell Davis Jr. Case Manager/Care Coordinator 2460 College Drive, Baton Rouge, LA 70808 2019-01-02
1508340886 Jennifer Miatech Student in an Organized Health Care Education/Training Program 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 2018-09-21
1700389137 Jenee Robins Case Manager/Care Coordinator 2100 College Dr Apt 159, Baton Rouge, LA 70808 2018-03-12
1952812893 Da Vonna Dents Behavioral Analyst 418 Stoney Creek Ave, Baton Rouge, LA 70808 2017-10-18
1962925669 Katharine Elizabeth Blum Counselor 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 2017-07-25
1801316120 Amie Jackson Social Worker 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 2017-06-27
1235660713 Melissa A Eddy-shelby Student in an Organized Health Care Education/Training Program 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 2017-03-25
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699382176 Morgan Prejean Physician Assistant 11445 Coursey Blvd Ste L, Baton Rouge, LA 70816-0411 2020-09-28
1376078022 Brian Ammon Physician Assistant 11831 Oakwilde Ave, Baton Rouge, LA 70810-3120 2017-05-01
1194148437 Margot Lebourgeois Physician Assistant 7777 Hennessy Blvd Ste 700, Baton Rouge, LA 70808-4300 2014-01-22
1477995645 Ashley Raburn Physician Assistant 7444 Picardy Ave Ste A, Baton Rouge, LA 70808-4331 2013-07-29
1609177161 Kimberly Bergeron Physician Assistant 7301 Hennessey Blvd., Suite 200, Baton Rouge, LA 70808 2010-11-15
1487968327 Ronald Ray Torres Jr. Physician Assistant 10059 N. Reiger Road, Baton Rouge, LA 70809 2010-08-03
1639294564 Sarah Ponder Physician Assistant 7777 Hennessy Blvd Ste 5000, Baton Rouge, LA 70808-4368 2007-03-20
1033113980 Vickie Sue Rice Physician Assistant 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810-1685 2005-06-09
1124635164 Marissa Tana Burnett Physician Assistant 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 2020-09-24
1053973750 Laura Clesi Knight Physician Assistant 7777 Hennessy Blvd Ste 701, Baton Rouge, LA 70808-4370 2019-07-02
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Competitor

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City BATON ROUGE
Zip Code 70808

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Dataset Information

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.

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