LONGEVITY HEALTH AND WELLNESS (NPI# 1548656598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548656598 |
| Entity Type | Organization |
| Organization Name | LONGEVITY HEALTH AND WELLNESS |
| Practice Address |
1101 Village Walk Covington LA 70433-4006 |
| Mailing Address |
848 E Boston St Unit 501 Covington LA 70433-2982 |
| Practice Telephone | 9853733126 |
| Practice Fax Number | 2253415388 |
| Mailing Telephone | 9853733126 |
| Mailing Fax Number | 2253415388 |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-05-07 |
| Authorized Official Name | MS. SANDRA RUSSELL ALMERICO (NURSE PRACTITIONER) |
| Authorized Official Telephone | 9853733126 |
| Authorized Official Credential | NP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP05758 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Longevity Health and Wellness Inc. | 8020 Lee Drive, Arvada, CO 80005 |
| Street Address |
1101 VILLAGE WALK |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629573043 | Jessica L Howell | Massage Therapist | 1101 Village Walk, Covington, LA 70433-4006 | 2018-03-27 |
| 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 | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588000590 | Brenda J Ledet | Nurse Practitioner | 170 Greenbriar Blvd, Ste B, Covington, LA 70433-7233 | 2013-05-16 |
| 1700088788 | Pamela B. Egan | Nurse Practitioner | 1116 W 21st Ave., Covington, LA 70433-7407 | 2007-06-02 |
| 1487065538 | Allison Lee Plaisance | Nurse Practitioner | 1970 N Highway 190, Covington, LA 70433-5158 | 2014-05-12 |
| 1811311897 | Maggie Ann Berolo | Nurse Practitioner | 50 E Rivercenter Blvd Ste 434, Covington, KY 41011-1660 | 2014-02-11 |
| 1043563638 | Jessica T Carlson | Nurse Practitioner | 19343 Sunshine Ave, Covington, LA 70433-8834 | 2012-10-19 |
| 1134479447 | Barbara Lindsay | Nurse Practitioner | 217 Cherokee Rose Lane, Covington, LA 70433 | 2012-09-13 |
| 1043585854 | Jessica Lynn Bosch | Nurse Practitioner | 101 Judge Tanner Blvd, Suite 506, Covington, LA 70433-7503 | 2012-03-12 |
| 1811267040 | Christopher Charles Keaton | Nurse Practitioner | 20050 Crestwood Blvd, Covington, LA 70433-5207 | 2012-01-04 |
| 1154642080 | Tara Steib Alston | Nurse Practitioner | 50 Louis Prima Dr, Suite A, Covington, LA 70433-5903 | 2010-06-15 |
| 1780850966 | Kathleen Ann Mahl | Nurse Practitioner | 56 Starbrush Cir, Covington, LA 70433-7208 | 2008-05-07 |
| Find all providers in COVINGTON | ||||
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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.