ST GABRIEL HEALTH CLINIC, INC. (NPI# 1710292909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710292909 |
| Entity Type | Organization |
| Organization Name | ST GABRIEL HEALTH CLINIC, INC. |
| Practice Address |
5760 Monticello Dr Saint Gabriel LA 70776-4412 |
| Mailing Address |
5760 Monticello Dr P O Box 209 Saint Gabriel LA 70776-4412 |
| Practice Telephone | 2256429676 |
| Practice Fax Number | 2256429696 |
| Mailing Telephone | 2256429676 |
| Mailing Fax Number | 2256429696 |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |
| Authorized Official Name | MRS. MARILYN B ANTWINE (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2256429676 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP06223 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5760 MONTICELLO DR |
| City | SAINT GABRIEL |
| State | LA |
| Zip Code | 70776-4412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477686954 | Latonya C Monroe | Nurse Practitioner | 5760 Monticello Dr, Saint Gabriel, LA 70776-4412 | 2007-03-13 |
| 1942787684 | April Latasha Jackson | Nurse Practitioner | 5760 Monticello Dr, Saint Gabriel, LA 70776-4412 | 2018-07-25 |
| 1841720984 | Janet Hood Merriman | Nurse Practitioner | 5760 Monticello Dr, Saint Gabriel, LA 70776-4412 | 2017-06-12 |
| 1861824294 | Rachel Mechelle Potter | Dentist | 5760 Monticello Dr, Saint Gabriel, LA 70776-4412 | 2013-08-08 |
| 1598020927 | P Danielle Causey | Dentist | 5760 Monticello Dr, Saint Gabriel, LA 70776-4412 | 2012-07-11 |
| 1821357351 | Melvin P Jones Jr. | Dentist | 5760 Monticello Dr, Saint Gabriel, LA 70776-4412 | 2012-05-03 |
| 1114209392 | Rashied Cormier | Social Worker | 5760 Monticello Dr, Saint Gabriel, LA 70776-4412 | 2011-09-14 |
| 1093006249 | St. Gabriel Health Clinic, Inc | Clinic/Center | 5760 Monticello Dr, Saint Gabriel, LA 70776-4412 | 2011-04-22 |
| 1649579251 | Audrey Bon Stansbury | Nurse Practitioner | 5760 Monticello Dr, Saint Gabriel, LA 70776-4412 | 2011-03-22 |
| 1609104744 | Brenda J Durham | Social Worker | 5760 Monticello Dr, Saint Gabriel, LA 70776-0209 | 2009-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225487101 | St Gabriel Health Clinic Inc | Clinic/Center | 5600 Monticello Dr, St Gabriel, LA 70776 | 2016-06-10 |
| 1821464587 | St Gabriel Health Clinic Inc | Clinic/Center | 5760 Monticello, St Gabriel, LA 70776 | 2015-08-18 |
| 1942575105 | Reginald Grace Sr. | Counselor | 6225 Plantation Dr., St. Gabriel, LA 70776 | 2012-03-20 |
| 1407185226 | Vonda Kay Gustin | Nurse Practitioner | 6295 Highway 74, St. Gabriel, LA 70776 | 2009-12-08 |
| 1912236738 | Cynthia Anne Park | Clinical Nurse Specialist | 6925 Highway 74, St. Gabriel, LA 70776 | 2009-12-08 |
| 1417147851 | Adolph Brooks Cronan Jr. | Family Medicine | River Road, Syngenta Corp, St Gabriel, LA 70776 | 2007-08-01 |
| 1215159272 | Pamela B. Ross | Nurse Practitioner | 7205 Hwy. 74, St. Gabriel, LA 70776 | 2007-05-02 |
| 1548310881 | George Elliott Inc | Pharmacy | 6150 Hwy 74, St Gabriel, LA 70776 | 2007-01-11 |
| 1790014512 | Johnny Francois Prejean Jr. | Internal Medicine | 6925 Highway 74, St. Gabriel, LA 70776 | 2009-12-08 |
| 1861635443 | Maureen Coughlin | Social Worker | 5760 Monticello Drive, St Gabriel, LA 70776 | 2009-04-13 |
| Find all providers in zip 70776 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003863 | Kristen Dickerson Burns | Nurse Practitioner | 2530 Bert Kouns Industrial Loop Ste 138, Shreveport, LA 71118-6114 | 2020-11-05 |
| 1932717576 | Tera Rachal Cooke | Nurse Practitioner | 1712 Missile Base Rd, Stonewall, LA 71078-8328 | 2020-07-20 |
| 1144847211 | Pelican Mobile Health, LLC | Nurse Practitioner | 105 Aycock Rd, Monroe, LA 71203-9335 | 2020-07-06 |
| 1114575396 | Jennifer Marie Williams | Nurse Practitioner | 327 Industrial Dr, Jonesboro, LA 71251-5498 | 2019-08-30 |
| 1730735663 | Dannette Furgerson | Nurse Practitioner | 2625 Leaf Ln, Shreveport, LA 71109-3010 | 2019-08-15 |
| 1285288951 | Valarie Golden Clark | Nurse Practitioner | 441 Route 66, Dequincy, LA 70633-5315 | 2019-07-30 |
| 1578039921 | Red Stick Healthcare | Nurse Practitioner | 16733 Wenwood Dr, Baton Rouge, LA 70817-6957 | 2018-10-23 |
| 1841706769 | Kellie Gater | Nurse Practitioner | 1111 Medical Center Blvd Ste S650, Marrero, LA 70072-3158 | 2017-12-15 |
| 1730601626 | Jennifer Holifield | Nurse Practitioner | 701 Metairie Rd Ste 2a-220, Metairie, LA 70005-4050 | 2017-07-12 |
| 1154773521 | Linda H Stodghill | Nurse Practitioner | 212 Rhymes St, Rayville, LA 71269-2917 | 2016-07-08 |
| Find all providers with the same taxonomy | ||||
| City | SAINT GABRIEL |
| Zip Code | 70776 |
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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.