EDNA BETH NETTLES (NPI# 1477706968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477706968 |
| Entity Type | Individual |
| Full Name | EDNA BETH NETTLES |
| Credential | PA-C |
| Practice Address |
2706 Hessmer Ave Suite A Metairie LA 70002-7041 |
| Practice Telephone | 5047542334 |
| Practice Fax Number | 5043242078 |
| Mailing Telephone | 5047542334 |
| Mailing Fax Number | 5043242078 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2015-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA200705 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | PA1680 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 1509761 | 05 | |
| TN | BCBS TN | 4211276 | 01 |
| TN | 1505839 | 05 |
| Street Address |
2706 HESSMER AVE SUITE A |
| City | METAIRIE |
| State | LA |
| Zip Code | 70002-7041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922549971 | Express Pharmacy Solutions | Pharmacy | 2706 Hessmer Ave, Suite A, Metairie, LA 70002-7041 | 2017-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114541737 | Solstice Technologies, Inc. | Clinical Medical Laboratory | 3501 Severn Ave Suite 24, Metairie, LA 70002 | 2020-05-29 |
| 1891335071 | Kristin Alongi | Nurse Practitioner | 3838 N Causeway Blvd. Ste 2200, Metairie, LA 70002 | 2020-01-15 |
| 1841850450 | Emily Suarez Tan | Dentist | 3301 Veterans Blvd., Suite 203, Metairie, LA 70002 | 2019-06-17 |
| 1902369317 | Unitedhealthcare of Louisiana, Inc. | Health Maintenance Organization | 3838 N. Causeway Blvd., Suite 2600, Metairie, LA 70002 | 2019-04-11 |
| 1013479195 | Jeffrey Scott Toler | Dentist | 2937 Veterans Memorial Blvd, Ste C, Metairie, LA 70002 | 2019-04-05 |
| 1982188470 | Kelly Brooke Anderson | Clinic/Center | 2215 Veterans Blvd, Metairie, LA 70002 | 2018-09-20 |
| 1831695253 | A&g Pediatrics LLC | Community Based Residential Treatment Facility, Mental Illness | 3001 Division St., Suite 206, Metairie, LA 70002 | 2018-04-04 |
| 1730691064 | Desire Care, LLC | Technician | 2800 Hessmer Ave, Suite B, Metairie, LA 70002 | 2017-10-26 |
| 1104338458 | Monet Wiltz | Case Manager/Care Coordinator | 2637 Edenborn Ave Ste 302, Metairie, LA 70002 | 2017-10-26 |
| 1316461395 | Crystal Mc Bride | Counselor | 3100 Ridgelake Dr. Suite 309, Metairie, LA 70002 | 2017-08-01 |
| Find all providers in zip 70002 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144797952 | Savanna Lee Farris | Physician Assistant | 701 Metairie Rd Ste 2a205, Metairie, LA 70005-4061 | 2018-10-30 |
| 1891289302 | Haley Brooke Baudoin | Physician Assistant | 3001 Division St Ste 105, Metairie, LA 70002-5854 | 2018-06-18 |
| 1063031490 | Brooks Lee Vial | Physician Assistant | 3939 Houma Blvd Ste 21, Metairie, LA 70006-2921 | 2020-04-15 |
| 1154979078 | Brandt Aymond | Physician Assistant | 545 Oaklawn Dr, Metairie, LA 70005-2808 | 2019-09-04 |
| 1912550641 | Corteney Emma Finnell | Physician Assistant | 2215 Veterans Blvd, Metairie, LA 70002 | 2019-07-22 |
| 1245883446 | Chet Myer | Physician Assistant | 4315 Houma Blvd, Metairie, LA 70006-2940 | 2019-07-17 |
| 1275016859 | Jennifer Prendergast Miller | Physician Assistant | 2215 Veterans Memorial Blvd, Metairie, LA 70002-6322 | 2018-09-10 |
| 1215453139 | Joshua Michael Collins | Physician Assistant | 2215 Veterans Memorial Blvd, Metairie, LA 70002-6322 | 2017-08-22 |
| 1346698990 | Nicholas J Usner | Physician Assistant | 3939 Houma Blvd, Ste 21, Metairie, LA 70006-2931 | 2016-05-24 |
| 1942603592 | Heather Wills | Physician Assistant | 3510 N Causeway Blvd, Suite 110, Metairie, LA 70002-3531 | 2014-09-26 |
| Find all providers in METAIRIE | ||||
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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.