CRYSTAL CARACCIOLI HEBERT (NPI# 1710511241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710511241 |
| Entity Type | Individual |
| Full Name | CRYSTAL CARACCIOLI HEBERT |
| Credential | PMHNP |
| Practice Address |
5131 Odonovan Dr Ste 300 Baton Rouge LA 70808-4792 |
| Practice Telephone | 2253740400 |
| Practice Fax Number | 2253740430 |
| Mailing Telephone | 2253740400 |
| Mailing Fax Number | 2253740430 |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
211927 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5131 ODONOVAN DR STE 300 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-4792 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346673332 | Shweta Sidhu | Psychiatry & Neurology | 5131 Odonovan Dr Ste 300, Baton Rouge, LA 70808-4792 | 2013-08-14 |
| 1306233101 | Daniel Wu | Student in an Organized Health Care Education/Training Program | 5131 Odonovan Dr Ste 300, Baton Rouge, LA 70808-4792 | 2015-04-20 |
| 1306232962 | Natalie Hunsinger | Psychiatry & Neurology | 5131 Odonovan Dr Ste 300, Baton Rouge, LA 70808-4792 | 2015-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835346 | Cassandra Thomas-jingles Psychiatric Nurse Practitioner, LLC. | Nurse Practitioner | 156 Mcgehee Dr, Baton Rouge, LA 70815-5012 | 2019-01-26 |
| 1659733236 | Synergy Behavioral Health Services LLC | Nurse Practitioner | 355 Saint Charles St, Baton Rouge, LA 70802-5948 | 2016-03-23 |
| 1841617594 | Amy Lacouture | Nurse Practitioner | 16539 Centurion Ave, Baton Rouge, LA 70816-1924 | 2014-03-19 |
| 1104169382 | Legacy Behavioral Health | Nurse Practitioner | 7290 Siegen Lane, Baton Rouge, LA 70810 | 2013-04-05 |
| 1659667301 | Ccp Enterprises, LLC | Nurse Practitioner | 19111 Bellerive Ct, Baton Rouge, LA 70809-6736 | 2011-06-21 |
| 1518278589 | Andrea Delaune Plauche | Nurse Practitioner | 2798 Oneal Ln, Ste. 8, Baton Rouge, LA 70816-3407 | 2010-06-24 |
| 1932317138 | Andre Stewart | Nurse Practitioner | 4040 North Blvd Ste A, Baton Rouge, LA 70806-3829 | 2007-05-19 |
| 1689662439 | Robert Allen Varnado | Nurse Practitioner | 5240 Stonewall Dr, Baton Rouge, LA 70817-2549 | 2005-10-06 |
| 1467445718 | Staci S. Gulino | Nurse Practitioner | 9311a Bluebonnet Blvd, Baton Rouge, LA 70810-2806 | 2005-08-23 |
| 1801495304 | Anita L Gilbert | Nurse Practitioner | 2798 Oneal Ln Ste 8, Baton Rouge, LA 70816-3408 | 2020-10-26 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
Please comment or provide details below to improve the information on CRYSTAL CARACCIOLI HEBERT.
| 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.