MRS. MARY BETH NEELEY


Address: 2770 3rd Ave, Suite 350 Lake Charles Memorial Hospital Internal Medic, Lake Charles, LA 70601
Phone: 3374946800

MRS. MARY BETH NEELEY (NPI# 1790803278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790803278
Entity Type Individual
Full Name MRS. MARY BETH NEELEY
Credential FNP
Practice Address 2770 3rd Ave
Suite 350 Lake Charles Memorial Hospital Internal Medic
Lake Charles
LA 70601
Mailing Address Po Box 122539
Dept 2539
Dallas
TX 75312-2539
Practice Telephone 3374946800
Practice Fax Number 3374946811
Mailing Telephone 3374942919
Mailing Fax Number 3374943069
Enumeration Date 2007-03-26
Last Update Date 2019-09-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LF0000X Nurse Practitioner
Specialization: Family
RN099890 LA Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
R850198 MS Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2770 3RD AVE
SUITE 350 LAKE CHARLES MEMORIAL HOSPITAL INTERNAL MEDIC
City LAKE CHARLES
State LA
Zip Code 70601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831189174 Cynthia G Cox Nurse Practitioner 2770 3rd Ave, Suite 225, Lake Charles, LA 70601-8994 2005-10-27
1437692605 Amanda Paige Mulig Nurse Practitioner 2770 3rd Ave, Ste 120, Lake Charles, LA 70601-8994 2016-11-21
1356607659 Jason Kent Langhofer Internal Medicine 2770 3rd Ave, Ste 350, Lake Charles, LA 70601-8994 2012-04-11
1982960373 Craig Alan Greenman Internal Medicine 2770 3rd Ave, Ste 350, Lake Charles, LA 70601-8994 2012-04-10
1407168032 Lcms Surgical Associates of Southwest Lousiana, LLC Surgery 2770 3rd Ave, Suite 120, Lake Charles, LA 70601-8994 2010-07-12
1942461207 Clifford Armand Courville Internal Medicine 2770 3rd Ave, Ste 110, Lake Charles, LA 70601-8994 2008-06-19
1245414481 Endocrinology Center of Southwest La LLC Specialist 2770 3rd Ave, Suite 345, Lake Charles, LA 70601-8994 2007-12-24
1093849515 Floyd Anthony Gaspard Jr. Registered Nurse 2770 3rd Ave, Suite 225, Lake Charles, LA 70601 2007-03-15
1427181908 Mark D Lafuria Internal Medicine 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-8994 2007-03-13
1255404521 Susan Bourgeois Ieyoub Internal Medicine 2770 3rd Ave, Suite 350, Lake Charles, LA 70601-8994 2006-11-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144833872 Fresenius Medical Care Sulphur, LLC Clinic/Center 330 Chavanne Street, Lake Charles, LA 70601 2020-08-24
1174158844 Andrea Cormier Peer Specialist 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 2020-03-03
1588297303 Vivian Claire Miller Monceaux Chiropractor 780 Bayou Pines East Drive, Lake Charles, LA 70601 2020-02-20
1568001014 Swla Center for Health Services Clinic/Center 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 2020-01-02
1417512070 Ryan Nathaniel Vaisler Student in an Organized Health Care Education/Training Program 1525 Oak Park Blvd., Lake Charles, LA 70601 2019-05-08
1336600675 Hoh Palliative Care, LLC Family Medicine 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 2019-03-28
1073079026 Alawrass LLC Pharmacy 803 E Prien Lake Rd, Lake Charles, LA 70601 2019-02-14
1861962722 Ellaweena Woods Counselor 1409 Kirkman St., Lake Charles, LA 70601 2018-12-04
1770051963 Hanna Marie Rodriguez Counselor 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 2018-11-06
1023585213 Shandora Druilhet Case Manager/Care Coordinator 751 E Bayou Pines, Lake Charles, LA 70601 2018-10-26
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942819131 Alisha Bernard Nurse Practitioner 2469 Topsy Rd, Lake Charles, LA 70611-5724 2020-07-24
1699396473 Patricia Duhon Nurse Practitioner 814 W Mcneese St Ste 100, Lake Charles, LA 70605-5426 2020-05-03
1134750052 Lauren Goodaker Nurse Practitioner 230 W Sale Rd, Lake Charles, LA 70605-2828 2020-01-29
1043867997 Cynthia Trahan Cox Nurse Practitioner 730 Tallow Rd, Lake Charles, LA 70607-7038 2019-08-23
1770145526 Lexie Miller Nurse Practitioner 1874 Poeyfarre Rd, Lake Charles, LA 70611-4698 2019-07-02
1477116036 Sarah Ardoin Bardin Nurse Practitioner 401 Dr Michael Debakey Dr Ste 300, Lake Charles, LA 70601-5864 2019-04-19
1194288266 Lauryn Caitlin Leslie Nurse Practitioner 333 Doctor Michael Debakey Dr Ste 140, Lake Charles, LA 70601-5889 2019-04-07
1649735234 Kayleigh Paige Head Nurse Practitioner 1000 Walters St Rm 204, Lake Charles, LA 70607-4647 2019-02-07
1548734270 Traci L. Johnson Nurse Practitioner 4150 Nelson Rd Ste 5, Lake Charles, LA 70605-4148 2019-01-16
1730662305 Brandy Laurice Semien Nurse Practitioner 1727 Imperial Blvd Bldg 1b, Lake Charles, LA 70605-5392 2018-09-10
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Competitor

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City LAKE CHARLES
Zip Code 70601

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Dataset Information

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.

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