MISS STEPHANIE ANN COGBURN (NPI# 1669649695) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669649695 |
| Entity Type | Individual |
| Full Name | MISS STEPHANIE ANN COGBURN |
| Credential | LOTR |
| Practice Address |
4620 W Congress St Apt 50 Lafayette LA 70506-6632 |
| Practice Telephone | 3372169354 |
| Mailing Telephone | 3372169354 |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | OTT.Z11937 | LA | Other Service Providers |
| Street Address |
4620 W CONGRESS ST APT 50 |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70506-6632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| 1447742473 | Glenda Gravouilla Poulan | Driver | 330 Guilbeau Rd, Lafayette, LA 70506 | 2018-06-05 |
| 1194215905 | Angelica Plumbar | Case Manager/Care Coordinator | 1304 Bertrand Dr Ste B21304, Lafayette, LA 70506 | 2018-05-16 |
| 1801394820 | Acadiana Ambulatory Health Care Services | Non-Pharmacy Dispensing Site | 207 Westmark Blvd., Lafayette, LA 70506 | 2018-01-24 |
| 1578070041 | Kimberly Lois Robinson | Counselor | 203 Pinto St, Lafayette, LA 70506 | 2018-01-05 |
| 1558890814 | Shanece Marie Solomon | Speech-Language Pathologist | 326 Guilbeau Rd Apt 240, Lafayette, LA 70506 | 2017-06-08 |
| 1225565625 | Keena Lewis | Case Manager/Care Coordinator | 121 Kohen Luke Dr, Lafayette, LA 70506 | 2017-05-16 |
| 1326571498 | Natasha Deville | Community/Behavioral Health | 1408 W Willow St 162, Lafayette, LA 70506 | 2017-04-06 |
| 1952846826 | Mia D Arthur | Behavioral Analyst | 511 Monarch Dr, Lafayette, LA 70506 | 2016-12-30 |
| 1265983340 | Eric Prince | Specialist/Technologist | 202 Reinhardt Dr., Lafayette, LA 70506 | 2016-10-24 |
| Find all providers in zip 70506 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568085611 | Ryan Austin | Contractor | 600 Lafittes Landing Pass, Lafayette, LA 70508-5433 | 2020-05-24 |
| 1063885457 | Nicole Carroll Wolfe | Contractor | 206 E Peck Blvd, Lafayette, LA 70508-7474 | 2015-11-06 |
| 1639564701 | Renee Lynn Outlaw | Contractor | 3705 Mt Diablo Blvd Ste B, Lafayette, CA 94549-3540 | 2015-04-05 |
| 1225459613 | Rachel Courville | Contractor | 509 Camellia Dr, Lafayette, LA 70503-4701 | 2014-01-02 |
| 1689980104 | Rachel Ann Claussen | Contractor | 1002 S 12th St, Lafayette, IN 47905-1476 | 2010-08-21 |
| 1134440514 | Src International LLC | Contractor | 144 Banks Ave, Lafayette, LA 70506-1988 | 2010-06-19 |
| 1134380587 | Johnelle Nuspl Shaw | Contractor | 1021 Stagecoach Dr, Lafayette, CO 80026-8703 | 2008-06-18 |
| 1881803625 | Allison Cormier | Contractor | 512 Cane Dr, Lafayette, LA 70508-4339 | 2007-05-21 |
| 1275092553 | Adrian Inez Baytop | Contractor | 1017 Saint John St, Lafayette, LA 70501-6711 | 2019-03-17 |
| 1275997892 | Network Therapies, Inc | Contractor | 3203 Lucas Dr, Lafayette, CA 94549-5546 | 2016-04-09 |
| Find all providers in LAFAYETTE | ||||
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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.