LAKE ARTHUR HEALTH CLINIC LLC (NPI# 1609850270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609850270 |
| Entity Type | Organization |
| Organization Name | LAKE ARTHUR HEALTH CLINIC LLC |
| Practice Address |
328 Kellogg Ave Lake Arthur LA 70549-4116 |
| Mailing Address |
Po Box 765 Lake Arthur LA 70549-0765 |
| Practice Telephone | 3377740100 |
| Practice Fax Number | 3377740111 |
| Mailing Telephone | 3377740100 |
| Mailing Fax Number | 3377740111 |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2010-01-13 |
| Authorized Official Name | TINA K MONLEZUN (ADMINISTRATOR) |
| Authorized Official Telephone | 3377740100 |
| Authorized Official Credential | CFNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APO2500 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1442488 | 05 | |
| LA | DRUG ENFORCE ADM GROUP NO | BL7513775 | 01 |
| Street Address |
328 KELLOGG AVE |
| City | LAKE ARTHUR |
| State | LA |
| Zip Code | 70549-4116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104800846 | Tina K Monlezun | Nurse Practitioner | 328 Kellogg Ave, Lake Arthur, LA 70549-4116 | 2005-12-06 |
| 1558970335 | Kadie Verret | Nurse Practitioner | 328 Kellogg Ave, Lake Arthur, LA 70549-4116 | 2020-07-28 |
| 1578911285 | Jennings American Legion Hospital | Nurse Practitioner | 328 Kellogg Ave, Lake Arthur, LA 70549 | 2016-06-03 |
| 1154779874 | Jennings American Legion Hospital Inc | Clinic/Center | 328 Kellogg Ave, Lake Arthur, LA 70549 | 2016-06-03 |
| 1750739470 | Jennings American Legion Hospital | Nurse Practitioner | 328 Kellogg Ave, Lake Arthur, LA 70549-4502 | 2016-06-03 |
| 1134103708 | Constance M Darbonne | Nurse Practitioner | 328 Kellogg Ave, Lake Arthur, LA 70549-4116 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770998437 | Amy L Broussard | Specialist/Technologist, Other | 1117 Eighth St, Lake Arthur, LA 70549-3401 | 2014-06-20 |
| 1780085571 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 620 N Highway 26, Lake Arthur, LA 70549-3404 | 2014-09-11 |
| 1427219591 | M. Jacqueline Derouen | Massage Therapist | 808 N Highway 26 Lot A, Lake Arthur, LA 70549-3408 | 2008-06-21 |
| 1467484220 | Health Mart of Lake Arthur, Inc. | Pharmacist | 500 N Highway 26, Lake Arthur, LA 70549-3904 | 2006-07-06 |
| 1174778567 | Lona Lonette Benoit | Massage Therapist | 211 Arthur Ave, Lake Arthur, LA 70549-4613 | 2008-11-26 |
| 1932213915 | Meauxs Pharmacy Inc | Pharmacy | 202 Arthur Ave, Lake Arthur, LA 70549-4614 | 2006-08-18 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558970335 | Kadie Verret | Nurse Practitioner | 328 Kellogg Ave, Lake Arthur, LA 70549-4116 | 2020-07-28 |
| 1578911285 | Jennings American Legion Hospital | Nurse Practitioner | 328 Kellogg Ave, Lake Arthur, LA 70549 | 2016-06-03 |
| 1750739470 | Jennings American Legion Hospital | Nurse Practitioner | 328 Kellogg Ave, Lake Arthur, LA 70549-4502 | 2016-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972347 | Alicia Mitchell | Nurse Practitioner | 1504 Sunset Dr, Monroe, LA 71202-3612 | 2020-11-08 |
| 1902407190 | Amy Schulin Long | Nurse Practitioner | 2800 Veterans Memorial Blvd Ste 102, Metairie, LA 70002-6172 | 2020-11-04 |
| 1053911339 | Walter Matheny II | Nurse Practitioner | 216 W Union Street Ste A Minden, Minden, LA 71055 | 2020-10-27 |
| 1568061950 | Kecia Clark | Nurse Practitioner | 3009 Englewood Dr, Jennings, LA 70546-3266 | 2020-10-19 |
| 1225636012 | Jennifer Castro Ledet | Nurse Practitioner | 689 English Oak Dr, Madisonville, LA 70447-3179 | 2020-10-14 |
| 1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
| 1447857636 | Ashley Norsworthy | Nurse Practitioner | 2600 Tower Dr Ste 216, Monroe, LA 71201-5783 | 2020-10-01 |
| 1629684923 | On -demand Healthcare of Louisiana LLC | Nurse Practitioner | 12109 Hampton Village Ave, Baton Rouge, LA 70818-5741 | 2020-09-22 |
| 1528674280 | Acadiana Wound & Ostomy On Wheels | Nurse Practitioner | 218 Division Street, Krotz Springs, LA 70750 | 2020-09-18 |
| 1841806775 | Shelia M Reliford | Nurse Practitioner | 3928 Balcom St, Shreveport, LA 71109-5004 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
| City | LAKE ARTHUR |
| Zip Code | 70549 |
Please comment or provide details below to improve the information on LAKE ARTHUR HEALTH CLINIC LLC.
| 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.