THERAPEUTIC MEDICAL & PSYCHIATRIC SERVICES LLC. (NPI# 1750672390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750672390 |
| Entity Type | Organization |
| Organization Name | THERAPEUTIC MEDICAL & PSYCHIATRIC SERVICES LLC. |
| Practice Address |
1501 Stubbs Ave Monroe LA 71292-1106 |
| Mailing Address |
200 Winterpark Dr West Monroe LA 71292-1106 |
| Practice Telephone | 3183969712 |
| Practice Fax Number | 1800518423 |
| Mailing Telephone | 3183969712 |
| Mailing Fax Number | 1800518423 |
| Enumeration Date | 2011-05-01 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | MRS. DIANE PRIVITOR DAVIS (OWNER) |
| Authorized Official Telephone | 3188165116 |
| Authorized Official Credential | APRN, FNP-C, PMH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
APO5002 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | PRIVATE INSURANCE | 0000000000000 | 01 |
| Street Address |
1501 STUBBS AVE |
| City | MONROE |
| State | LA |
| Zip Code | 71292-1106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891886024 | Diane Privitor Davis | Nurse Practitioner | 1501 Stubbs Ave, Monroe, LA 71201-7120 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699222190 | Kasi Lively | Physician Assistant | 1879 Caples Rd, West Monroe, LA 71292 | 2016-09-01 |
| 1780029918 | Earlysteps | Home Health | 130 Laureli Ln, West Monroe, LA 71292 | 2013-05-01 |
| 1356587372 | Donald Shane Debnam | Nurse Practitioner | 1070 Jonesboro Road, Gpi - Plant 70 Medical Center, West Monroe, LA 71292 | 2008-12-22 |
| 1063572428 | Mr. Discount Drugs, Inc. | Pharmacy | 1106 Jonesboro Road, West Monroe, LA 71292 | 2006-12-08 |
| 1356376602 | West Monroe Care Center LLC | Family Medicine | 1416 Natchitaches Road, West Monroe, LA 71292 | 2006-07-12 |
| 1912936980 | Advanced Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 213 Expo Circle, West Monroe, LA 71292 | 2006-07-02 |
| 1023054871 | Healthcare Warehouse LLC | Durable Medical Equipment & Medical Supplies | 209 Expo Circle, Ste A, West Monroe, LA 71292 | 2006-06-21 |
| 1831154350 | Julee Lynn Winkler | Physical Therapist | 619 Kendall Ridge, West Monroe, LA 71292 | 2006-04-18 |
| 1033236393 | Monpsych Care Professional Corporation | Psychiatry & Neurology | 110 Elsinore Dr, West Monroe, LA 71292-0170 | 2007-03-23 |
| 1023621398 | Sharon Mayree Colton | Nurse Practitioner | 5856 Jonesboro Rd, West Monroe, LA 71292-0373 | 2020-08-26 |
| Find all providers in zip 71292 | ||||
| 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 |
|---|---|---|---|---|
| 1053838680 | Simply Sound Mind, LLC | Nurse Practitioner | 300 Washington St Ste 208, Monroe, LA 71201-6762 | 2017-08-24 |
| 1083755300 | Maureen Diane Cook | Nurse Practitioner | 731 Main St Ste 122, Monroe, CT 06468-2872 | 2007-02-09 |
| 1609482488 | Queshaun Svante Sudbury | Nurse Practitioner | 2513 Ferrand St, Monroe, LA 71201-3210 | 2020-09-17 |
| 1235744608 | Debbie Jean Pierce | Nurse Practitioner | 2404 Duval Dr, Monroe, LA 71201-2986 | 2020-09-13 |
| 1912539099 | Xin Wu | Nurse Practitioner | 14701 179th Ave Se, Monroe, WA 98272-1108 | 2020-02-06 |
| 1295385276 | Pamela Felicia Nelome | Nurse Practitioner | 709 Breedlove Dr, Monroe, GA 30655-2055 | 2019-09-12 |
| 1376197194 | Keeley Claire Russ | Nurse Practitioner | 1105 Hudson Ln, Monroe, LA 71201-6003 | 2019-07-30 |
| 1437643608 | Joshua Valinsky | Nurse Practitioner | 731 Main St Ste 122, Monroe, CT 06468-2872 | 2018-06-20 |
| 1396239224 | Kristen Coles Johnson | Nurse Practitioner | 3421 Medical Park Dr, Monroe, LA 71203-2355 | 2018-06-14 |
| 1033636188 | Michelle Neyer | Nurse Practitioner | 1001 S Raisinville Rd, Monroe, MI 48161-0726 | 2017-08-29 |
| Find all providers in MONROE | ||||
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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.