ETOIL RAY (NPI# 1710355003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710355003 |
| Entity Type | Individual |
| Full Name | ETOIL RAY |
| Practice Address |
1440 Hawn Ave Shreveport LA 71107-6532 |
| Practice Telephone | 3182265990 |
| Practice Fax Number | 3182265994 |
| Mailing Telephone | 3182265990 |
| Mailing Fax Number | 3182265994 |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | RN031863 | LA | Nursing Service Providers |
| Street Address |
1440 HAWN AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71107-6532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396081097 | Cbs Act Center LLC | Counselor | 1440 Hawn Ave, Shreveport, LA 71107-6532 | 2012-12-27 |
| 1174120893 | Katrina Bennett | Case Manager/Care Coordinator | 1440 Hawn Ave, Shreveport, LA 71107-6532 | 2020-10-06 |
| 1093334484 | Yvette Deem | Licensed Practical Nurse | 1440 Hawn Ave, Shreveport, LA 71107-6532 | 2020-04-15 |
| 1700419850 | Janet Douglas | Licensed Practical Nurse | 1440 Hawn Ave, Shreveport, LA 71107-6532 | 2020-02-18 |
| 1790323277 | Melanie D Barre | Case Manager/Care Coordinator | 1440 Hawn Ave, Shreveport, LA 71107-6532 | 2019-12-16 |
| 1306495460 | Marlo Davis | Case Manager/Care Coordinator | 1440 Hawn Ave, Shreveport, LA 71107-6532 | 2019-09-10 |
| 1255988408 | Valarie Michelle Maywether | Case Manager/Care Coordinator | 1440 Hawn Ave, Shreveport, LA 71107-6532 | 2019-08-22 |
| 1972086254 | Miyako Lee | Case Manager/Care Coordinator | 1440 Hawn Ave, Shreveport, LA 71107-6532 | 2018-09-12 |
| 1912480856 | Danielle L Williams | Case Manager/Care Coordinator | 1440 Hawn Ave, Shreveport, LA 71107-6532 | 2018-09-06 |
| 1386120517 | Ronnica Jones | Case Manager/Care Coordinator | 1440 Hawn Ave, Shreveport, LA 71107-6532 | 2018-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306490875 | Kimber Leigh Lumley | Registered Nurse | 1440 Hawn Ave., Shreveport, LA 71107 | 2019-08-01 |
| 1871063461 | Nicole Capito | Case Manager/Care Coordinator | 200 North Thomas Drive Ste 1, Shreveport, LA 71107 | 2018-11-27 |
| 1891260899 | Danielle Leigh Dreher | Dental Assistant | 3610 Gorman Rd, Shreveport, LA 71107 | 2018-10-05 |
| 1255817540 | Shirley Marie Washington | Technician | 3227 Old Mooringsport Rd., Shreveport Rd, LA 71107 | 2018-07-19 |
| 1366928467 | Katrina L Bailey | Case Manager/Care Coordinator | 1111 Hawn Ave Apt A, Shreveport, LA 71107 | 2018-07-12 |
| 1063907970 | James Mcneely IIi | Public Health or Welfare | 5922 Alaska Ln, Shreveport, LA 71107 | 2018-06-25 |
| 1528560067 | Jacarie Guice | Case Manager/Care Coordinator | 4601 N. Market Ste 2, Shreveport, LA 71107 | 2018-03-01 |
| 1467971069 | Tracy Renard Harris | Counselor | 1149 Englemeade Dr, Shreveport, LA 71107 | 2017-09-14 |
| 1427588045 | Mark Rogers | Behavior Technician | 1500 N. Market Unit C Suite 105, Shreveport, LA 71107 | 2017-06-15 |
| 1356871164 | Hope4youth | Voluntary or Charitable | 2850 King Oaks Loop, Shreveport, LA 71107 | 2017-06-14 |
| Find all providers in zip 71107 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031043 | Moranda Mone't Powell | Registered Nurse | 3208 Hatcher Rd, Shreveport, LA 71119-5334 | 2020-07-28 |
| 1306490875 | Kimber Leigh Lumley | Registered Nurse | 1440 Hawn Ave., Shreveport, LA 71107 | 2019-08-01 |
| 1639683964 | Lessie Kate Gorecki | Registered Nurse | 7709 Southfork Dr, Shreveport, LA 71105-5721 | 2017-11-22 |
| 1689197519 | Kirk Gibson | Registered Nurse | 919 Willow Dr, Shreveport, LA 71118-4023 | 2017-07-23 |
| 1740714401 | Melissa Saulsbury | Registered Nurse | 7545 Highway 1, Shreveport, LA 71107-8146 | 2017-04-19 |
| 1326589219 | Catrina Rayfield | Registered Nurse | 201 Naomi St, Shreveport, LA 71106-5443 | 2017-03-13 |
| 1144613555 | Christy Stanfield | Registered Nurse | 9329 Savanna Dr, Shreveport, LA 71118-3216 | 2015-03-09 |
| 1679965610 | Roderickus Williams | Registered Nurse | 8930 Bayonne Dr, Shreveport, LA 71118-2033 | 2015-02-27 |
| 1730526914 | Victoria Simone Pipkins | Registered Nurse | 420 Homalot Drive, Shreveport, LA 71106 | 2013-05-29 |
| 1912241217 | Vanessa E Byrd | Registered Nurse | 7340 Wyngate Blvd., Shreveport, LA 71106 | 2012-11-27 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71107 |
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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.