MS. EDEN YUMENA TABLAN (NPI# 1780768135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780768135 |
| Entity Type | Individual |
| Full Name | MS. EDEN YUMENA TABLAN |
| Credential | NURSE PRACTITIONER |
| Practice Address |
1855 Ames Blvd Marrero LA 70072-3429 |
| Mailing Address |
3521 Lake Kristin Dr Gretna LA 70056-8346 |
| Practice Telephone | 5043498802 |
| Practice Fax Number | 5043498817 |
| Mailing Telephone | 5043498802 |
| Mailing Fax Number | 5043498817 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
RN091814 APO1236 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1855 AMES BLVD |
| City | MARRERO |
| State | LA |
| Zip Code | 70072-3429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093759888 | Jefferson Community Health Care Centers Inc | Clinic/Center | 1855 Ames Blvd, Suite B, Marrero, LA 70072-3429 | 2006-06-15 |
| 1326400797 | Jacquelyn Kellett | Social Worker | 1855 Ames Blvd, Marrero, LA 70072-3429 | 2016-03-24 |
| 1760800064 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 1855 Ames Blvd, Suite B, Marrero, LA 70072-3429 | 2014-04-03 |
| 1942628243 | Jefferson Community Health Care Centers, Inc | Clinic/Center | 1855 Ames Blvd, Suite B, Marrero, LA 70072-3429 | 2014-04-03 |
| 1366871295 | Kwynn Mason | Dietitian, Registered | 1855 Ames Blvd, Marrero, LA 70072-3429 | 2013-11-01 |
| 1558608745 | Lisa Mary Anna Nelson | Dietitian, Registered | 1855 Ames Blvd, Marrero, LA 70072-3429 | 2013-01-09 |
| 1619225521 | Leah Beatrice Wright | Podiatrist | 1855 Ames Blvd, Suite B, Marrero, LA 70072-3429 | 2012-08-27 |
| 1992067813 | Leona Anderson | Registered Nurse | 1855 Ames Blvd, Marrero, LA 70072-3429 | 2012-06-15 |
| 1588958102 | Sarah Hoffpauir | Social Worker | 1855 Ames Blvd, Marrero, LA 70072-3429 | 2011-05-31 |
| 1144520677 | Jefferson Community Health Care Centers | Clinic/Center | 1855 Ames Blvd, Marrero, LA 70072-3429 | 2010-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
| 1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
| 1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
| 1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
| 1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
| 1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
| 1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
| 1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
| 1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
| Find all providers in zip 70072 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093349078 | Alysha Hinson | Nurse Practitioner | 1455 E Bert Kouns Industrial Loop Ste 306, Shreveport, LA 71105-5634 | 2020-02-27 |
| 1316591126 | Heather Jaet Simon | Nurse Practitioner | 113 Brewster Rd, Madisonville, LA 70447-9579 | 2019-07-30 |
| 1396233078 | Megan C Riley | Nurse Practitioner | 100 Womans Way Ste 407, Baton Rouge, LA 70817-5100 | 2018-04-27 |
| 1356759153 | Mary Tillman Acosta | Nurse Practitioner | 8001 Youree Dr Ste 320, Shreveport, LA 71115-2354 | 2014-07-24 |
| 1710226204 | Tara Rae Thompson | Nurse Practitioner | 5604 Coliseum Blvd Ste B, Alexandria, LA 71303-3993 | 2013-02-04 |
| 1942585591 | Iph, Slidel LLC | Nurse Practitioner | 2364 Gause Blvd E Ste 101, Slidell, LA 70461-4141 | 2011-10-14 |
| 1265725402 | Katherine Maranto Salley | Nurse Practitioner | 827 Margaret Pl, Suite 201, Shreveport, LA 71101-4523 | 2011-05-20 |
| 1225361827 | Paulette Guidry Landry | Nurse Practitioner | U L Lafayette Student Health, 120 Boucher Dr., Lafayette, LA 70504-0001 | 2009-09-14 |
| 1467695700 | Heather M Lenox | Nurse Practitioner | 4540 Amb Caffery Pkwy, Ste C 220, Lafayette, LA 70508-6928 | 2009-04-16 |
| 1447413828 | Monica Valenti Smith | Nurse Practitioner | 806-b Riverside Drive, Franklinton, LA 70438-3688 | 2008-07-07 |
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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.