AMY DAWN ETTINGER (NPI# 1386150027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386150027 |
| Entity Type | Individual |
| Full Name | AMY DAWN ETTINGER |
| Credential | PLPC |
| Practice Address |
113 Christian Ln Slidell LA 70458-1377 |
| Practice Telephone | 9857817353 |
| Practice Fax Number | 9857817354 |
| Mailing Telephone | 9857817353 |
| Mailing Fax Number | 9857817354 |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2019-03-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 6954 | LA | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
6954 | LA | Behavioral Health & Social Service Providers |
| Street Address |
113 CHRISTIAN LN |
| City | SLIDELL |
| State | LA |
| Zip Code | 70458-1377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043267008 | Richard F. Kutner | Psychiatry & Neurology | 113 Christian Ln, Slidell, LA 70458-1350 | 2006-05-27 |
| 1386263853 | Jeffery Vezain | Nurse Practitioner | 113 Christian Ln, Slidell, LA 70458-1377 | 2020-04-14 |
| 1881227106 | Megan Seals | Nurse Practitioner | 113 Christian Ln, Slidell, LA 70458-1377 | 2020-02-14 |
| 1376191304 | Access Health Louisiana | Clinic/Center | 113 Christian Ln, Slidell, LA 70458-1377 | 2019-09-03 |
| 1912565698 | Dionna Crespo | Nurse Practitioner | 113 Christian Ln, Slidell, LA 70458-1377 | 2019-05-29 |
| 1053884288 | Amanda Renee Monroe | Counselor | 113 Christian Ln, Slidell, LA 70458-1377 | 2019-01-10 |
| 1114400439 | Gloria Roussell Stewart | Nurse Practitioner | 113 Christian Ln, Slidell, LA 70458-1377 | 2018-09-12 |
| 1245783729 | Lisa Marie Langley-dane | Social Worker | 113 Christian Ln, Slidell, LA 70458-1350 | 2016-08-01 |
| 1518337641 | Rachel Stokes | Counselor | 113 Christian Ln, Slidell, LA 70458-1350 | 2015-10-01 |
| 1548630668 | Brittany Serpas | Counselor | 113 Christian Ln, Slidell, LA 70458-1350 | 2015-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588385 | Rashaan Ali Duke II | Peer Specialist | 118 Village St, Slidell, La 70458, Slidell, LA 70458 | 2020-01-30 |
| 1558840447 | Latasha Atkins | Case Manager/Care Coordinator | 1349 Corporate Square Drive, Ste 2, Slidell, LA 70458 | 2018-08-10 |
| 1689166324 | Health and Beauty Near Me, Inc | Internal Medicine | 1181a Robert Blvd, Slidell, LA 70458 | 2018-05-30 |
| 1164922795 | Chauffe Shuttles LLC | Non-emergency Medical Transport (VAN) | 322 Cumberland Dr., Slidell, LA 70458 | 2018-02-20 |
| 1427560689 | Sigur Homes Inc | Contractor | 107 Columbia Place, Slidell, LA 70458 | 2017-10-27 |
| 1528584554 | Jade Williams | Counselor | 132 West Howse Beach Rd, Slidell, LA 70458 | 2017-08-22 |
| 1649794801 | Exquisite Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1 Mission Hills Dr, Slidell, LA 70458 | 2017-07-31 |
| 1427578665 | Cathy Martin | Counselor | 1349 Corporate Square Dr Ste 2, Slidell, LA 70458 | 2017-06-20 |
| 1184153595 | Lesley Marie Achary | Physician Assistant | 901 Gause Blvd., 2nd Floor, Slidell, LA 70458 | 2017-06-08 |
| 1376077057 | Spano Pt LLC | Physical Therapist | 1290 Front St, Slidell, LA 70458 | 2017-04-19 |
| Find all providers in zip 70458 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447815824 | Center for Healing Hearts | Counselor | 1310 Brownswitch Rd., Suited, Slidell, LA 70461-1608 | 2019-05-01 |
| 1851875462 | Luis W. Socarras | Counselor | 310 Kensington Blvd, Slidell, LA 70458-2248 | 2018-09-19 |
| 1336625466 | Kelli Busbee | Counselor | 59015 Amber St Ste A3, Slidell, LA 70461-5398 | 2018-07-11 |
| 1407212830 | Kelle Falterman | Counselor | 132 Rue Royal, Slidell, LA 70461-5223 | 2016-01-14 |
| 1871969287 | Latasha K. Clay | Counselor | 1944 Brookter St, Slidell, LA 70461-4823 | 2015-08-19 |
| 1639566870 | Ilsa Araki | Counselor | 85 Whisperwood Boulevard, Slidell, LA 70458 | 2015-04-24 |
| 1467845743 | Charlotte Campbell | Counselor | 1216 Mountain Ash Dr, Slidell, LA 70458 | 2015-03-11 |
| 1023408705 | Lisa Berkman | Counselor | 2408 Robin St, Slidell, LA 70460-6644 | 2015-02-02 |
| 1477961936 | Rashunda Miller Reed | Counselor | 1921 Corporate Square Dr Ste B, Slidell, LA 70458-3172 | 2014-07-29 |
| 1265849434 | Staci Whiteside | Counselor | 441 Holmes Dr, Slidell, LA 70460-8431 | 2014-07-18 |
| Find all providers in SLIDELL | ||||
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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.