JEFFERY VEZAIN (NPI# 1386263853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386263853 |
Entity Type | Individual |
Full Name | JEFFERY VEZAIN |
Practice Address |
113 Christian Ln Slidell LA 70458-1377 |
Mailing Address |
2900 Indiana Ave Kenner LA 70065-4605 |
Practice Telephone | 8665306111 |
Mailing Telephone | 5045753712 |
Enumeration Date | 2020-04-14 |
Last Update Date | 2020-04-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
211592 | LA | Physician Assistants & Advanced Practice Nursing 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 |
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 |
1386150027 | Amy Dawn Ettinger | Counselor | 113 Christian Ln, Slidell, LA 70458-1377 | 2017-12-18 |
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 |
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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 |
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Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972113124 | Rebirth Mental Health Services LLC | Nurse Practitioner | 2116 Gause Blvd W Ste E, Slidell, LA 70460-4120 | 2020-08-03 |
1881227106 | Megan Seals | Nurse Practitioner | 113 Christian Ln, Slidell, LA 70458-1377 | 2020-02-14 |
1578193603 | Dominique Ganier Dorsey | Nurse Practitioner | 2331 Carey St, Slidell, LA 70458-3627 | 2020-01-16 |
1912565698 | Dionna Crespo | Nurse Practitioner | 113 Christian Ln, Slidell, LA 70458-1377 | 2019-05-29 |
1114400439 | Gloria Roussell Stewart | Nurse Practitioner | 113 Christian Ln, Slidell, LA 70458-1377 | 2018-09-12 |
1891152906 | Cathy Davis | Nurse Practitioner | 2331 Carey St, Slidell, LA 70458-3627 | 2016-01-20 |
1003168071 | Jaime Rebecca Loebner | Nurse Practitioner | 113 Christian Ln, Slidell, LA 70458-1350 | 2012-10-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427668748 | Julie Susann Dyrek | Nurse Practitioner | 1 Lakeshore Dr Ste 1830, Lake Charles, LA 70629-0114 | 2020-08-01 |
1376169979 | Nancy Ariwodo | Nurse Practitioner | 225 Rue La France, Lafayette, LA 70508-1565 | 2020-06-19 |
1578183208 | Donald Glyn Gardner II | Nurse Practitioner | 324 Blue Fox Cir, Haughton, LA 71037-7707 | 2020-04-22 |
1629604129 | Raelyn Marie Plauche | Nurse Practitioner | 1951 Florida Ave Sw Ste D&e, Denham Springs, LA 70726-4947 | 2020-03-16 |
1962035964 | Tyler Trenton Wansley | Nurse Practitioner | 23515 Us-190, Mandeville, LA 70448 | 2020-02-18 |
1114558715 | Danielle J Threatts Aprn LLC | Nurse Practitioner | 208 W Gloria Switch Rd Ste 219, Lafayette, LA 70507-3409 | 2020-02-01 |
1992359848 | Harold G Frizzell Psychiatric Services LLC | Nurse Practitioner | 300 Thompson Loop, Lafayette, LA 70506-2820 | 2019-07-29 |
1598227779 | Candyce Brown | Nurse Practitioner | 333 Dr Michael Debakey Dr Ste 220, Lake Charles, LA 70601-5888 | 2019-04-04 |
1659835346 | Cassandra Thomas-jingles Psychiatric Nurse Practitioner, LLC. | Nurse Practitioner | 156 Mcgehee Dr, Baton Rouge, LA 70815-5012 | 2019-01-26 |
1508335910 | Oh Project- Southshore | Nurse Practitioner | 23515 U.S. 190, Northlake Academy Building, Mandeville, LA 70447 | 2018-11-14 |
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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.