MEGAN L COLVIN (NPI# 1528400959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528400959 |
| Entity Type | Individual |
| Full Name | MEGAN L COLVIN |
| Credential | PA-C |
| Practice Address |
7591 Fern Ave Suite 1705 Shreveport LA 71105-5750 |
| Practice Telephone | 3185503398 |
| Practice Fax Number | 3185503481 |
| Mailing Telephone | 3185503398 |
| Mailing Fax Number | 3185503481 |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2013-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.200636 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396259115 | Megan Colvin | Counselor | 607 Hospital Rd, Starkville, MS 39759-2119 | 2017-12-01 |
| 1790145407 | Megan Colvin | Speech-Language Pathologist | 1539 Country Club Rd, Fairmont, WV 26554-1306 | 2016-02-24 |
| 1326457623 | Megan Elizabeth Colvin | Physician Assistant | 700 High St, Williamsport, PA 17701-3198 | 2014-08-12 |
| Street Address |
7591 FERN AVE SUITE 1705 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71105-5750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851744 | Premier Marketing Associates Ltd Partnership | Durable Medical Equipment & Medical Supplies | 7591 Fern Ave, Ste. 1301, Shreveport, LA 71105-5750 | 2005-06-14 |
| 1205255999 | Bates Chiropractic & Sports Therapy, LLC | Chiropractor | 7591 Fern Ave, 1502, Shreveport, LA 71105-5750 | 2014-04-10 |
| 1316230394 | Menopause & Hormone Specialty Center, LLC | Nurse Practitioner | 7591 Fern Ave, Suite #1501, Shreveport, LA 71105-5750 | 2011-05-24 |
| 1942457940 | Elite Health Solutions LLC | Clinic/Center | 7591 Fern Ave, Ste. 1602, Shreveport, LA 71105-5750 | 2008-08-20 |
| 1942245600 | Tammi Herkey | Nurse Practitioner | 7591 Fern Ave, Suite 1501, Shreveport, LA 71105-5750 | 2006-06-18 |
| 1447242482 | Ark-la-tex Home Health Inc. | Home Health | 7591 Fern Ave, Ste 1503, Shreveport, LA 71105-5748 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699245928 | Misty Johnetta Ross | Counselor | 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 | 2018-11-29 |
| 1205301868 | Tatjhana Maury | Case Manager/Care Coordinator | 3325 Youree Drive, Shreveport, LA 71105 | 2018-10-10 |
| 1245710920 | Jefferey Douglas Adair Md | Non-Pharmacy Dispensing Site | 8860 Fern Ave., Suite 120, Shreveport, LA 71105 | 2018-08-21 |
| 1679059539 | Michael E Woolbert Dds LLC | Dentist | 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 | 2018-07-13 |
| 1881195675 | Adiba Bibi | Pharmacist | 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 | 2018-02-27 |
| 1740796655 | Allison Borel | Counselor | 2020 E 70th St Ste 201, Shreveport, LA 71105 | 2017-12-15 |
| 1073028148 | Valerie Wooten Barcelona | Physical Therapist | 130 Kayla Street, Shreveport, LA 71105 | 2017-12-11 |
| 1710497615 | Jimmy Carroll | Counselor | 2960 Knight St, Suite 110, Shreveport, LA 71105 | 2017-10-05 |
| 1932618444 | David Louis Bennett | Counselor | 3007 Knight St., Suite 200, Shreveport, LA 71105 | 2017-09-27 |
| 1619496452 | Shaqwana Hodge | Counselor | 2920 Knight St. Suite 110, Shreveport, LA 71105 | 2017-09-13 |
| Find all providers in zip 71105 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790228013 | Brian Keith Fontenot | Physician Assistant | 2751 Albert L Bicknell Dr Ste 5c, Shreveport, LA 71103-3943 | 2016-11-18 |
| 1831412626 | Christopher Micheal Magill | Physician Assistant | 2551 Greenwood Rd Ste 210, Shreveport, LA 71103-3985 | 2010-03-08 |
| 1851401426 | Teresa Bigler | Physician Assistant | 1606 Kings Hwy, Shreveport, LA 71103-4128 | 2006-08-30 |
| 1730118365 | Tina Faith Gentry | Physician Assistant | 7925 Youree Dr Suite 280b, Shreveport, LA 71105-5538 | 2006-07-03 |
| 1487616538 | David Stanley Staton | Physician Assistant | Overton Brooks Vamc, 510 East Stoner Ave, Shreveport, LA 71101 | 2006-04-04 |
| 1114924404 | Mary Mcferren | Physician Assistant | 1455 E Bert Kouns Industrial Loop # 200, Shreveport, LA 71105 | 2005-07-01 |
| 1487252029 | Melissa Raney | Physician Assistant | 2709 Mackey Ln, Shreveport, LA 71118-2556 | 2020-10-15 |
| 1629683230 | Amanda Renae Simmons | Physician Assistant | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-10 |
| 1700496312 | Caroline Leigh Harris | Physician Assistant | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-08-07 |
| 1811459449 | Lyndsey Pate Day | Physician Assistant | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2019-04-02 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71105 |
Please comment or provide details below to improve the information on MEGAN L COLVIN.
| 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.