COURTNEY LEIGH PELLEGRIN (NPI# 1386276327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386276327 |
| Entity Type | Individual |
| Full Name | COURTNEY LEIGH PELLEGRIN |
| Practice Address |
533 Mathew St Lafitte LA 70067-5117 |
| Practice Telephone | 5046289075 |
| Mailing Telephone | 5046289075 |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2020-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
533 MATHEW ST |
| City | LAFITTE |
| State | LA |
| Zip Code | 70067-5117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992852636 | Tewelde's Lafitte Drugs | Pharmacist | 2695 Jean Lafitte Blvd, Lafitte, LA 70067 | 2007-01-04 |
| 1962921106 | Eric Giesemann | Emergency Medicine | 2529 Jean Lafitte Blvd, Lafitte, LA 70067-5203 | 2017-09-19 |
| 1326467622 | Jan W Johnson | Dietitian, Registered | 5278 Church St, Lafitte, LA 70067-5224 | 2014-04-15 |
| 1356337778 | Quynh T Lu-lewis | Family Medicine | 5140 Church St, Suite 100, Lafitte, LA 70067-5256 | 2005-09-21 |
| 1528483849 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 5140 Church St, Lafitte, LA 70067-5256 | 2014-02-24 |
| 1467794511 | Elizabeth Ponder | Dentist | 5140 Church St, Lafitte, LA 70067-5256 | 2013-03-26 |
| 1467792713 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 5140 Church St, Lafitte, LA 70067-5256 | 2013-02-25 |
| 1831266162 | West Jefferson Physician Services | Family Medicine | 5140 Church St, Lafitte, LA 70067-5256 | 2006-11-30 |
| 1366851651 | Hilarie Frickey | Pharmacist | 5696 Jean Lafitte Blvd, Lafitte, LA 70067-5506 | 2014-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962921106 | Eric Giesemann | Emergency Medicine | 2529 Jean Lafitte Blvd, Lafitte, LA 70067-5203 | 2017-09-19 |
| 1366851651 | Hilarie Frickey | Pharmacist | 5696 Jean Lafitte Blvd, Lafitte, LA 70067-5506 | 2014-08-12 |
| 1326467622 | Jan W Johnson | Dietitian, Registered | 5278 Church St, Lafitte, LA 70067-5224 | 2014-04-15 |
| 1992852636 | Tewelde's Lafitte Drugs | Pharmacist | 2695 Jean Lafitte Blvd, Lafitte, LA 70067 | 2007-01-04 |
| 1356337778 | Quynh T Lu-lewis | Family Medicine | 5140 Church St, Suite 100, Lafitte, LA 70067-5256 | 2005-09-21 |
| 1528483849 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 5140 Church St, Lafitte, LA 70067-5256 | 2014-02-24 |
| 1467794511 | Elizabeth Ponder | Dentist | 5140 Church St, Lafitte, LA 70067-5256 | 2013-03-26 |
| 1467792713 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 5140 Church St, Lafitte, LA 70067-5256 | 2013-02-25 |
| 1831266162 | West Jefferson Physician Services | Family Medicine | 5140 Church St, Lafitte, LA 70067-5256 | 2006-11-30 |
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346848116 | Kerry Michael Ruiz | Specialist/Technologist | 2378 Kensington Dr, Baton Rouge, LA 70809-1210 | 2020-10-14 |
| 1013514710 | Jody Powell | Specialist/Technologist | 1600 Arizona Ave, Monroe, LA 71202-3602 | 2020-10-06 |
| 1336755495 | Kevin Keys | Specialist/Technologist | 106 Tomahawk Dr, Lafayette, LA 70503-6606 | 2020-09-23 |
| 1770199531 | Ryan Petrossi | Specialist/Technologist | 11959 Nicholson Dr Apt 17304, Baton Rouge, LA 70810-7626 | 2020-09-17 |
| 1285240028 | Cecilia Kieliszewski | Specialist/Technologist | 308 Warhawk Way Ulm Athletics Department, Monroe, LA 71209-0001 | 2020-09-17 |
| 1659985596 | Jake Bradley Lipps | Specialist/Technologist | 40068 Davis Dr, Ponchatoula, LA 70454-6410 | 2020-09-08 |
| 1942811773 | William Connor Sinclair | Specialist/Technologist | 12019 Fairview Way, Saint Francisville, LA 70775-7464 | 2020-08-14 |
| 1336750306 | Margaret Anne Schladenhauffen | Specialist/Technologist | 131 S Jeff Davis Pkwy Unit 100, New Orleans, LA 70119-6227 | 2020-08-13 |
| 1457962847 | Alexa Yanez | Specialist/Technologist | 936 Elmeer Ave, Metairie, LA 70005-1612 | 2020-08-11 |
| 1609486885 | Jasmine Joane Anderson | Specialist/Technologist | 1228 S Genois St, New Orleans, LA 70125-1724 | 2020-08-03 |
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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.