MRS. COURTNEY LEE DEITCH (NPI# 1649828310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649828310 |
| Entity Type | Individual |
| Full Name | MRS. COURTNEY LEE DEITCH |
| Credential | IBCLC |
| Practice Address |
1727 Imperial Blvd Bldg 3 Lake Charles LA 70605-5393 |
| Practice Telephone | 3375647953 |
| Mailing Telephone | 3375647953 |
| Mailing Fax Number | 3374785879 |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | L-145567 | LA | Other Service Providers |
| Street Address |
1727 IMPERIAL BLVD BLDG 3 |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605-5393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821037383 | Charles Randolph Speights | Emergency Medicine | 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605-5393 | 2006-06-06 |
| 1801414008 | Carlie Bennett | Speech-Language Pathologist | 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605-5393 | 2020-07-14 |
| 1821634106 | Marla Nichols | Occupational Therapist | 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605-5393 | 2019-11-21 |
| 1417511452 | Jessica Wells | Occupational Therapist | 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605-5393 | 2019-04-25 |
| 1801358270 | Ethan Hyatt | Speech-Language Pathologist | 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605-5393 | 2019-04-03 |
| 1720549157 | Balance Center, LLC | Physical Therapist | 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605-5393 | 2019-03-28 |
| 1487130944 | James Marcantel Jr. | Physical Therapist | 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605-5362 | 2018-07-17 |
| 1710484944 | Kristen Marcantel | Speech-Language Pathologist | 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605-5362 | 2018-04-13 |
| 1912404161 | Jessica Pardo | Speech-Language Pathologist | 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605-5362 | 2018-04-12 |
| 1508383209 | Stephanie M Kestel Karpovs | Speech-Language Pathologist | 1727 Imperial Blvd Bldg 3, Lake Charles, LA 70605-5362 | 2017-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285158121 | Evon Marie Lavergne | Lactation Consultant, Non-RN | 1412 Sunset Dr, Lake Charles, LA 70607-3634 | 2017-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912462615 | Tamiqua Monique Torres | Lactation Consultant, Non-RN | 4129 Idaho Ave #a, Kenner, LA 70065 | 2019-02-06 |
| 1568946630 | Clair Hollins Mccoy | Lactation Consultant, Non-RN | 9363 Pecan Tree Dr, Baton Rouge, LA 70810-0700 | 2018-09-24 |
| 1659885580 | Chelsey Lee Leruth | Lactation Consultant, Non-RN | 2121 Octavia St, New Orleans, LA 70115-5655 | 2017-11-30 |
| 1942748058 | Christen Anders | Lactation Consultant, Non-RN | 4865 Sweetbriar St, Baton Rouge, LA 70808-8660 | 2017-02-09 |
| 1881139707 | Kristian Billiot | Lactation Consultant, Non-RN | 122 Cawthorn Dr, Slidell, LA 70458-1554 | 2017-01-01 |
| 1487904686 | Bethany Willis | Lactation Consultant, Non-RN | 2114 Spring Dr, Haynesville, LA 71038-5518 | 2012-09-14 |
| 1801495296 | Candyse Anne Matassa | Lactation Consultant, Non-RN | 5848 Menlo Dr, Baton Rouge, LA 70808-5047 | 2020-10-18 |
| 1447768312 | Jana Suzanne Mcdonald | Lactation Consultant, Non-RN | 5027 Paris Ave, New Orleans, LA 70122-2538 | 2018-01-12 |
| City | LAKE CHARLES |
| Zip Code | 70605 |
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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.