THERESA FREDERICK BODKER


Address: 1211 Coolidge Blvd, Suite 100, Lafayette, LA 70503-2636
Phone: 3372898400

THERESA FREDERICK BODKER (NPI# 1629358866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629358866
Entity Type Individual
Full Name THERESA FREDERICK BODKER
Credential APRN
Practice Address 1211 Coolidge Blvd
Suite 100
Lafayette
LA 70503-2636
Mailing Address Po Box 62600
New Orleans
LA 70162-2600
Practice Telephone 3372898400
Practice Fax Number 3372898401
Mailing Telephone 3377061506
Mailing Fax Number 3379819257
Enumeration Date 2011-08-19
Last Update Date 2012-04-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364S00000X Clinical Nurse Specialist AP01091 LA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1211 COOLIDGE BLVD
SUITE 100
City LAFAYETTE
State LA
Zip Code 70503-2636

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588662670 Bryan G. Sibley Pediatrics 1211 Coolidge Blvd, Suite 300, Lafayette, LA 70503-2636 2005-07-12
1740672872 Jacob R Karr, Md, LLC Specialist 1211 Coolidge Blvd, Suite 303, Lafayette, LA 70503-2636 2015-02-26
1780075200 Acadiana Ob/gyn, LLC Obstetrics & Gynecology 1211 Coolidge Blvd, Ste 403, Lafayette, LA 70503-2636 2015-02-06
1255742656 Jamie Stephenson Nurse Practitioner 1211 Coolidge Blvd, Lafayette, LA 70503-2636 2014-05-19
1356768964 Eric P. Trawick, Md, LLC Specialist 1211 Coolidge Blvd, Suite 303, Lafayette, LA 70503-2636 2014-03-20
1891123402 Gastroenterology Associates of Acadiana, LLC Clinical Medical Laboratory 1211 Coolidge Blvd, Suite 303-b, Lafayette, LA 70503-2636 2013-10-16
1164859047 Damon T Cudihy Md LLC Specialist 1211 Coolidge Blvd, Ste 403, Lafayette, LA 70503-2636 2013-10-09
1295010288 Allison Devalcourt Bertrand Nurse Practitioner 1211 Coolidge Blvd, Lafayette, LA 70503-2636 2011-10-21
1376828202 Lafayette General Endoscopy Center, Inc. Nurse Anesthetist, Certified Registered 1211 Coolidge Blvd, Suite 302, Lafayette, LA 70503-2636 2011-10-11
1992088454 Jenny Prejean Specialist 1211 Coolidge Blvd, Ste 100, Lafayette, LA 70503-2636 2011-09-21
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1972147346 Ryan Christopher Winters Counselor 143 Ridgeway Dr., Lafayette, LA 70503 2019-10-29
1861046112 Lafayette General Medical Center Inc General Acute Care Hospital 1213 Coolidge Street, Lafayette, LA 70503 2019-07-25
1770041295 Karen R Rue Registered Nurse 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 2019-03-04
1235601766 Frances Chauvin, Dds, LLC Dentist 229 Bendel Rd., Lafayette, LA 70503 2018-12-21
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Taxonomy Information

Taxonomy Code 364S00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist

Taxonomy Definition

A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902864036 Karen E. Hughes Clinical Nurse Specialist 1345 Unity Pl Ste 135, Lafayette, IN 47905 2006-05-01
1467435347 Bonnie A Wilensky Clinical Nurse Specialist 1000 W South Boulder Rd Ste 110, Lafayette, CO 80026-2753 2005-11-23
1144223207 Louise D Frederick Clinical Nurse Specialist 441 Heymann Blvd, Lafayette, LA 70503-2611 2005-05-23
1518592278 Ivy Rynearson Clinical Nurse Specialist 1345 Unity Pl Ste 355, Lafayette, IN 47905-5761 2020-03-03
1689004962 Melanie Braswell Clinical Nurse Specialist 2600 Greenbush St, Lafayette, IN 47904-2477 2013-11-22
1225129075 Taunya A Rapisarda Clinical Nurse Specialist 3660 Rome Dr, Lafayette, IN 47905-4488 2006-09-27
1649283854 Lisa E Mischke Clinical Nurse Specialist 280 Exempla Cir, Kp Cardiology First Floor, Lafayette, CO 80026-3370 2006-08-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225323819 Tyler K. Bartley Clinical Nurse Specialist 2025 Gravier Street, New Orleans, LA 70112-2269 2011-06-13
1114126240 Laverne D Williams Clinical Nurse Specialist 2021 Perdido Street, New Orleans, LA 70112 2007-07-18
1942291828 Barbara W Marley Clinical Nurse Specialist 111 E 5th St, Room 212, Natchitoches, LA 71457-5724 2005-10-31
1588666762 Lori Quinn-tate Clinical Nurse Specialist 1 Galleria Blvd # 1420, Metairie, LA 70001-2082 2005-06-01
1396094405 Julie M. Castex Clinical Nurse Specialist 1514 Jefferson Highway, New Orleans, LA 70121-2429 2012-09-05
1487946653 Rosa M Bustamante-forest Clinical Nurse Specialist 2021 Perdido Street, New Orleans, LA 70112 2011-05-06
1962707786 Deborah Ann Bourgeois Clinical Nurse Specialist 1514 Jefferson Hwy, New Orleans, LA 70121-2429 2011-01-26
1659593853 Coletha Riley Clinical Nurse Specialist 1541 Tulane Ave, Rm 505, New Orleans, LA 70112-2821 2007-05-03
1326150905 Germaine E Wall Clinical Nurse Specialist 8080 Bluebonnet Blvd, Suite 1000, Baton Rouge, LA 70810-7827 2006-08-31
1972564755 Florencetta H Gibson Clinical Nurse Specialist 300 Washington St, Suite 208, Monroe, LA 71201-6714 2006-03-31
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Competitor

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City LAFAYETTE
Zip Code 70503

Improve Information

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Dataset Information

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.

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