MS. DENITA MARIE DEROUSELLE (NPI# 1457870297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457870297 |
| Entity Type | Individual |
| Full Name | MS. DENITA MARIE DEROUSELLE |
| Practice Address |
251 Rees St Breaux Bridge LA 70517 |
| Mailing Address |
913 S College Rd Ste 105 Lafayette LA 70503-3061 |
| Practice Telephone | 3374426823 |
| Practice Fax Number | 3374426825 |
| Mailing Telephone | 3375348433 |
| Mailing Fax Number | 3375348428 |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2019-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
251 REES ST, |
| City | BREAUX BRIDGE |
| State | LA |
| Zip Code | 70517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811528789 | Celesta Bertrand Johnson | Nurse Practitioner | 1038 School Rd, Cecilia, LA 70517 | 2020-01-30 |
| 1265077804 | Kevin Labry | Physical Medicine & Rehabilitation | 1220 Berard St., Breaux Bridge, LA 70517 | 2019-11-07 |
| 1700398153 | Carmanlita Sampson | Case Manager/Care Coordinator | 1117 Saltmine Hwy, Breaux Bridge, LA 70517 | 2017-10-25 |
| 1831645191 | Breaux Bridge Mm LLC | Clinic/Center | 1451 E Bridge Street, Breaux Bridge, LA 70517 | 2016-08-28 |
| 1215395975 | Hoa Nguyen | Pharmacist | 1401 Rees Street, Breaux Bridge, LA 70517 | 2016-02-09 |
| 1407213960 | Tracy Senegal | Counselor | 241 Anderson St, Breaux Bridge, LA 70517 | 2016-01-27 |
| 1396138145 | Community Healthcare Clinic, LLC | Nurse Practitioner | 1421 Henderson Highway, Henderson, LA 70517 | 2015-03-17 |
| 1386989358 | Brittney Alexander Sanders | Nurse Practitioner | 1021 School Street, Breaux Bridge, LA 70517 | 2012-12-03 |
| 1437400967 | Lourdes After Hours LLC - Breaux Bridge | Clinic/Center | 1821 Rees St, Breaux Bridge, LA 70517 | 2012-09-24 |
| 1912279944 | Katie Valentour Parlow | Social Worker | 1021 School St, Breaux Bridge, LA 70517 | 2012-02-07 |
| Find all providers in zip 70517 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952950180 | Tori Joseph | Case Manager/Care Coordinator | 615 Molbert Ln, Breaux Bridge, LA 70517-6007 | 2019-09-10 |
| 1700398153 | Carmanlita Sampson | Case Manager/Care Coordinator | 1117 Saltmine Hwy, Breaux Bridge, LA 70517 | 2017-10-25 |
| 1043677347 | Brenda Melancon | Case Manager/Care Coordinator | 251 Rees St, Breaux Bridge, LA 70517-4611 | 2016-01-19 |
| 1427673516 | Grant Miller | Case Manager/Care Coordinator | 251 Rees St, Breaux Bridge, LA 70517-4611 | 2020-06-15 |
| 1821618406 | Kushiah Eriel Perry | Case Manager/Care Coordinator | 251 Rees St, Breaux Bridge, LA 70517-4611 | 2020-04-23 |
| 1831724004 | Jill Picard | Case Manager/Care Coordinator | 251 Rees St, Breaux Bridge, LA 70517-4611 | 2020-03-09 |
| 1891335030 | Arielle Butler | Case Manager/Care Coordinator | 251 Rees St, Breaux Bridge, LA 70517-4611 | 2020-01-15 |
| 1023664802 | Shanica Renee Joseph | Case Manager/Care Coordinator | 251 Rees St, Breaux Bridge, LA 70517-4611 | 2019-08-16 |
| 1306405915 | Bryce Carter | Case Manager/Care Coordinator | 251 Rees St, Breaux Bridge, LA 70517-4611 | 2019-06-07 |
| 1376101303 | Loreal Thomas | Case Manager/Care Coordinator | 251 Rees St, Breaux Bridge, LA 70517-4611 | 2019-06-04 |
| Find all providers in BREAUX BRIDGE | ||||
| City | BREAUX BRIDGE |
| Zip Code | 70517 |
Please comment or provide details below to improve the information on MS. DENITA MARIE DEROUSELLE.
| 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.