DAKOTA FAMILY HEALTHCARE, LLC (NPI# 1639672777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639672777 |
| Entity Type | Organization |
| Organization Name | DAKOTA FAMILY HEALTHCARE, LLC |
| Practice Address |
601 S Pine St Deridder LA 70634-4941 |
| Mailing Address |
Po Box 293 Evans LA 70639-0293 |
| Practice Telephone | 3374629919 |
| Mailing Telephone | 3374236695 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | LOIS J SWAIN (FNP) |
| Authorized Official Telephone | 3374236695 |
| Authorized Official Credential | APRN, FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP09743 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LS0200X |
Nurse Practitioner Specialization: School |
AP09743 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8088 Hawks Rd, Leesville, LA 714466649 | 3374628880 |
| Street Address |
601 S PINE ST |
| City | DERIDDER |
| State | LA |
| Zip Code | 70634-4941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003827510 | Thrifty Way Pharmacy of Deridder Inc No 2 | Pharmacy | 601 S Pine St, Deridder, LA 70634-4941 | 2006-08-10 |
| 1114045622 | John Bergeron | Pharmacist | 601 S Pine St, Deridder, LA 70634-4941 | 2007-03-26 |
| 1063539831 | Kathryn Bergeron | Pharmacist | 601 S Pine St, Deridder, LA 70634-4941 | 2007-03-24 |
| 1487770210 | Douglas Todd Castille | Pharmacist | 601 S Pine St, Deridder, LA 70634-4941 | 2007-03-22 |
| 1376660803 | Charles Caraway Jr. | Pharmacist | 601 S Pine St, Deridder, LA 70634-4941 | 2007-03-22 |
| 1184740128 | Michael Anthony Roy | Pharmacist | 601 S Pine St, Deridder, LA 70634-4941 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861016164 | Just Health | Clinic/Center | 411 Bolivar Bishop Dr, Deridder, LA 70634 | 2020-06-02 |
| 1477193183 | Stacey Marie Legros | Occupational Therapy Assistant | 19503 Highway 171, Deridder, LA 70634 | 2020-01-10 |
| 1487296588 | Imperial Health LLP | Internal Medicine | 200 W 5th Street, Deridder, LA 70634 | 2019-10-10 |
| 1902367568 | Residential Therapy Solutions, LLC | Physical Therapist | 19503 Hwy 171, Deridder, LA 70634 | 2019-03-27 |
| 1023583044 | Calcasieu Urgent Care LLC | Clinic/Center | 1017 N Pine Street, Deridder, LA 70634 | 2018-10-05 |
| 1235638222 | Melanie Welch, Fnp, LLC | Nurse Practitioner | 1420 Blankenship Dr., Deridder, LA 70634 | 2018-02-06 |
| 1265976617 | Jennifer Dianne Midgett | Nurse Practitioner | 2581 Highway 190 W, Deridder, LA 70634 | 2016-12-05 |
| 1821419334 | Beauregard Hematolog & Oncology | Internal Medicine | 301 S. Washington St., Ste B, Deridder, LA 70634 | 2013-12-31 |
| 1982835013 | Kathern Sue Hollifield | Physical Therapist | 309 S. Washington St., Beauregard Physical Therapy Clinic Inc, Deridder, LA 70634 | 2009-08-06 |
| 1750541777 | Tracy Winkley | Physical Therapist | 1744 Ball Rd, Deridder, LA 70634 | 2008-06-12 |
| Find all providers in zip 70634 | ||||
| Taxonomy Code | 363LS0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730368838 | Christus Health Northern Louisiana | Nurse Practitioner | 401 W 70th St, Shreveport, LA 71106-3034 | 2007-10-25 |
| 1457530552 | Christus Health Northern Louisiana | Nurse Practitioner | 7340 Wyngate Blvd, Shreveport, LA 71106-3920 | 2007-10-25 |
| 1780882787 | Evelyn Watson Branch | Nurse Practitioner | 193 Highway 3048, Rayville, LA 71269-3622 | 2007-07-11 |
| 1336363845 | Melanie G. Petchak | Nurse Practitioner | 7611 Saint Vincent Ave, Shreveport, LA 71106-4231 | 2007-04-13 |
| 1396924486 | Christus Health Northern Louisiana | Nurse Practitioner | 7611 Saint Vincent Ave, Shreveport, LA 71106-4231 | 2007-10-25 |
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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.