MATTHEW LADOUCEUR (NPI# 1417504887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417504887 |
| Entity Type | Individual |
| Full Name | MATTHEW LADOUCEUR |
| Practice Address |
648 Crestwood Dr Covington LA 70433 |
| Mailing Address |
648 Crestwood Drive Covington LA 70433 |
| Practice Telephone | 9858052555 |
| Practice Fax Number | 9854005303 |
| Mailing Telephone | 9858052555 |
| Mailing Fax Number | 9854005303 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-10-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2100X |
Clinical Nurse Specialist Specialization: Acute Care |
203735 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1150 Robert Blvd Ste 220, Slidell, LA 704582006 | 9858052555 | 9854005303 |
| 433 Plaza St Ste 3a, Bogalusa, LA 704273729 | 9857306970 | 9857307269 |
| Street Address |
648 CRESTWOOD DR |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073013702 | Holly Holmes Leonhard | Nurse Practitioner | 648 Crestwood Dr, Covington, LA 70433 | 2018-02-19 |
| 1881239911 | Karin Moran Burvant | Speech-Language Pathologist | 648 Crestwood Dr, Covington, LA 70433 | 2019-11-13 |
| 1033766498 | Lisa Raymond-prinz | Nurse Practitioner | 648 Crestwood Dr, Covington, LA 70433 | 2019-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 364SA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912236738 | Cynthia Anne Park | Clinical Nurse Specialist | 6925 Highway 74, St. Gabriel, LA 70776 | 2009-12-08 |
| 1306350822 | David Creger LLC | Clinical Nurse Specialist | 716 Village Rd, Kenner, LA 70065 | 2017-11-20 |
| 1467702944 | Gina Marie King | Clinical Nurse Specialist | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2012-09-12 |
| 1487954608 | Katherine Rains | Clinical Nurse Specialist | 912 W Main St, Homer, LA 71040-3328 | 2010-10-22 |
| 1669635561 | Patricia Ann Chatham | Clinical Nurse Specialist | 1450 Poydras St, New Orleans, LA 70112-6010 | 2008-07-10 |
Please comment or provide details below to improve the information on MATTHEW LADOUCEUR.
| 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.