MRS. ANNIE WELLS (NPI# 1780032359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780032359 |
| Entity Type | Individual |
| Full Name | MRS. ANNIE WELLS |
| Practice Address |
3113 Moore Station Rd Shreveport LA 71108-5043 |
| Practice Telephone | 3184234561 |
| Practice Fax Number | 3188487713 |
| Mailing Telephone | 3184234561 |
| Mailing Fax Number | 3188487713 |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2016-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171WV0202X |
Contractor Specialization: Vehicle Modifications |
002803974 | LA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 811916782 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770679284 | Annie M Wells | Psychologist | 919 Corley, Se, Huntsville, AL 35802-3700 | 2006-10-04 |
| Street Address |
3113 MOORE STATION RD |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71108-5043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770097941 | At Your Service Reliable Transport LLC. | Driver | 3113 Moore Station Rd, Shreveport, LA 71108-5043 | 2017-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528551140 | Berkelia Player | Case Manager/Care Coordinator | 8108 Kingston Road Suite 101 B, Shreveport, LA 71108 | 2018-06-08 |
| 1548757305 | Kenya Cawthorne | Counselor | 1520 Oakdale St, Shreveport, LA 71108 | 2018-04-17 |
| 1083112890 | Chantanell Johns | Case Manager/Care Coordinator | 8101 Kingston Rd Ste 101b, Shreveport, LA 71108 | 2018-01-26 |
| 1912425935 | Mildred Rivers | Case Manager/Care Coordinator | 4718 Hearne Ave, Shreveport, LA 71108 | 2017-08-30 |
| 1790205326 | Britney Ashton | Case Manager/Care Coordinator | 1910 Hickory St, Shreveport, LA 71108 | 2017-06-24 |
| 1548792674 | La'travia Jackson | Case Manager/Care Coordinator | 3430 Fernwood Ln, Shreveport, LA 71108 | 2017-03-29 |
| 1962941476 | Johnetta Marshall | Counselor | 6901 Despot Rd, Shreveport, LA 71108 | 2017-02-16 |
| 1295283992 | Shaun Cooper | Case Manager/Care Coordinator | 8824 Ruth Ave, Shreveport, LA 71108 | 2016-09-12 |
| 1508313735 | Tara Black | Counselor | 7019 Louise St, Shreveport, LA 71108 | 2016-09-06 |
| 1659828960 | Maranda Bolden | Counselor | 4906 Merlin Circle, Apt 4906, Shreveport, LA 71108 | 2016-09-02 |
| Find all providers in zip 71108 | ||||
| Taxonomy Code | 171WV0202X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| Specialization | Vehicle Modifications |
| A contractor who makes modifications to private vehicles to accommodate a health condition. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164573069 | Handicap Services, Inc. | Contractor | 1820 Kings Hwy, Shreveport, LA 71103-3639 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208449 | Tonette Trahan | Contractor | 1936 Dabney Dr, Baton Rouge, LA 70816-8628 | 2020-03-02 |
| 1346744042 | Mary Necoloa Fontenot | Contractor | 1324 Rosetta St, Lake Charles, LA 70607-1932 | 2018-03-19 |
| 1003329251 | David Turner | Contractor | 708 10th St, Ferriday, LA 71334-3350 | 2017-11-09 |
| 1821465394 | David Tate | Contractor | 200 Cedar Tree Dr, Thibodaux, LA 70301-5724 | 2015-08-31 |
| 1356612386 | Dameka M Cage | Contractor | 5803 Nashville Ave, Baton Rouge, LA 70812-2642 | 2012-01-23 |
| 1619005238 | Lee Carricut | Contractor | 224 E Pinhook Rd, Lafayette, LA 70501-8534 | 2007-03-02 |
| 1871859827 | Louisiana Special Needs Consultants LLC | Contractor | 7591 I 49 S Service Rd, Opelousas, LA 70570-8154 | 2012-04-04 |
| 1952617037 | Louisiana Special Needs Consultants | Contractor | 7591 I 49 S Service Rd, Suite 2, Opelousas, LA 70570-8154 | 2010-08-26 |
| City | SHREVEPORT |
| Zip Code | 71108 |
Please comment or provide details below to improve the information on MRS. ANNIE WELLS.
| 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.