ELYSE LEIGH POOLE (NPI# 1457981292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457981292 |
Entity Type | Individual |
Full Name | ELYSE LEIGH POOLE |
Credential | NP |
Practice Address |
3330 Masonic Dr Alexandria LA 71301-3841 |
Mailing Address |
316 Bonner Loop Pollock LA 71467-3714 |
Practice Telephone | 3184486827 |
Practice Fax Number | 3184486850 |
Mailing Telephone | 3184463210 |
Enumeration Date | 2020-01-21 |
Last Update Date | 2020-01-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
AP04673 | LA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
3330 MASONIC DR |
City | ALEXANDRIA |
State | LA |
Zip Code | 71301-3841 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548252760 | Linda M Paul | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2005-08-16 |
1457991671 | Courtney Price Mansour | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2020-01-15 |
1396382560 | Wilbur Eric Sharp | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-12-05 |
1225674427 | Hospitalist Medicine Physicians of Louisiana - Shreveport, Inc. | Internal Medicine | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-11-22 |
1699317321 | Jacintha Nnadi | Registered Nurse | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-10-15 |
1548810617 | Catherine Cunningham Faucheaux | Counselor | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-09-19 |
1366091829 | Ashley Brazzell | Registered Nurse | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-09-08 |
1972158152 | Allison J Edwards | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-08-05 |
1548812829 | Jennifer Marie Murphy | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-07-16 |
1437623279 | Kerry Riche | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2019-01-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
Find all providers in zip 71301 |
Taxonomy Code | 363LN0005X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal, Critical Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538492186 | Michael David Lanclos | Nurse Practitioner | 211 4th St, Alexandria, LA 71301-8421 | 2009-09-15 |
1609839992 | Susan Davis Bowers | Nurse Practitioner | 4320 Seminary Rd, Suite 3000, Alexandria, VA 22304-1535 | 2006-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396272084 | Cielena Houck | Nurse Practitioner | 2700napoleon Avenue, New Orleans, LA 70115-6914 | 2017-05-12 |
1548702863 | Laura Lynne Duhon | Nurse Practitioner | 6902 E Savannah Ln, Lake Charles, LA 70605-8151 | 2016-11-17 |
1275805020 | Paul Wayne Byrd | Nurse Practitioner | 303 Cranbrook Ct, Bossier City, LA 71111-2182 | 2012-02-08 |
1073639308 | Cynthia Kay Lagrange | Nurse Practitioner | 6809 W Calcasieu Dr, Lake Charles, LA 70605-0452 | 2007-03-21 |
1164579116 | Holly Joiner | Nurse Practitioner | 104 Winterpark Dr, West Monroe, LA 71292-2150 | 2007-01-04 |
1164433694 | Celeste Diane Perry | Nurse Practitioner | 107 Montrose Ave., Suite D, Lafayette, LA 70503 | 2006-08-10 |
1053918425 | Catelyn Jennifer Myers | Nurse Practitioner | 500 Rue De La Vie St Ste 405, Baton Rouge, LA 70817-5128 | 2020-10-08 |
1063046662 | Courtney Lynn Thomas | Nurse Practitioner | 1900 W Gauthier Rd, Lake Charles, LA 70605-7170 | 2020-02-24 |
1194358341 | Margaret Coleman | Nurse Practitioner | 4700 S I 10 Service Rd W, Metairie, LA 70001-1269 | 2020-02-17 |
1437790631 | Melissa Guidry Morse | Nurse Practitioner | 2700 Napoleon Ave, New Orleans, LA 70115-6914 | 2019-09-30 |
Find all providers with the same taxonomy |
City | ALEXANDRIA |
Zip Code | 71301 |
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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.