MRS. MICAH BOYETT PILCHER (NPI# 1619226727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619226727 |
| Entity Type | Individual |
| Full Name | MRS. MICAH BOYETT PILCHER |
| Credential | C.P.N.P. |
| Practice Address |
9220 Ellerbe Rd Ste 700 Shreveport LA 71106-6709 |
| Mailing Address |
919 Hidden Rdg Irving TX 75038-3813 |
| Practice Telephone | 3186815282 |
| Practice Fax Number | 3186815284 |
| Mailing Telephone | 4692822713 |
| Mailing Fax Number | 4692820996 |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2017-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP07029 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2314122 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Saint Mary Place, Shreveport, LA 71101 | 3186814500 |
| Street Address |
9220 ELLERBE RD STE 700 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-6709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942741376 | Cara Miccoli Permenter | Family Medicine | 9220 Ellerbe Rd Ste 700, Shreveport, LA 71106-6709 | 2017-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376092510 | Tanquenika Markray | Nurse Practitioner | 351 Hearne Ave, Shreveport, LA 71103-2019 | 2016-09-29 |
| 1568489342 | Margaret S Raish | Nurse Practitioner | 410 W. 70th Street, Linwood School Based Health Center, Shreveport, LA 71106 | 2006-07-16 |
| 1568015584 | Lori J Phillips | Nurse Practitioner | 909 Olive St, Shreveport, LA 71104-2103 | 2019-07-18 |
| 1447810973 | Ashley C Viviano | Nurse Practitioner | 1919 Fairfield Ave, Shreveport, LA 71101-4436 | 2019-06-17 |
| 1104311778 | Amanda Carfagno | Nurse Practitioner | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2018-06-26 |
| 1528583549 | Jennipher Lyn Smothers | Nurse Practitioner | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2017-08-10 |
| 1598137374 | Jamiee Brice | Nurse Practitioner | 2520 Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71118-3130 | 2015-10-20 |
| 1336516533 | Holly Rivers | Nurse Practitioner | 2520 Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71118-3130 | 2015-08-24 |
| 1639545692 | Angela Moyer | Nurse Practitioner | 2520 Bert Kouns Industrial Loop, Suite 105, Shreveport, LA 71118-3130 | 2015-08-13 |
| 1831533553 | Jennifer Yvonne Treadwell | Nurse Practitioner | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2013-04-24 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
Please comment or provide details below to improve the information on MRS. MICAH BOYETT PILCHER.
| 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.