CANTRELLE WILLIAMS (NPI# 1801390976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801390976 |
| Entity Type | Individual |
| Full Name | CANTRELLE WILLIAMS |
| Practice Address |
3303 Tulane Ave Ste 3 New Orleans LA 70119-7185 |
| Mailing Address |
5548 Ames Ct Marrero LA 70072-5343 |
| Practice Telephone | 5043021323 |
| Practice Fax Number | 5043244573 |
| Mailing Telephone | 5045750330 |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | LA | Other Service Providers |
| Street Address |
3303 TULANE AVE STE 3 |
| City | NEW ORLEANS |
| State | LA |
| Zip Code | 70119-7185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292744 | Tabitha D Matthews | Pharmacy Technician | 3303 Tulane Ave Ste 3, New Orleans, LA 70119-7185 | 2019-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161105 | Mark P Kostelak | Perfusionist | Southeast Louisiana Veterans Health Care System, 2400 Canal Street, New Orleans, LA 70119 | 2020-10-15 |
| 1922626365 | Shanika Valcour-leduff | Nurse Practitioner | 535 S Galvez St., New Orleans, LA 70119 | 2020-07-13 |
| 1932723335 | Just Health | Clinic/Center | 2800 Perdido St, New Orleans, LA 70119 | 2020-06-01 |
| 1205460235 | Lily Tran | Registered Nurse | 119 S Galvez Street, New Orleans, LA 70119 | 2020-02-28 |
| 1740823137 | Kaylyn Bernard | Case Manager/Care Coordinator | 2626 Canal St., New Orleans, LA 70119 | 2019-10-18 |
| 1114577954 | Alyssia Breion Smith | Case Manager/Care Coordinator | 1995 Gentilly Blvd. Ste. C-400, New Orleans, LA 70119 | 2019-09-13 |
| 1457903387 | Brian Steven Goldfarb | Dentist | 3701 Conti St, Apt #3403, New Orleans, LA 70119 | 2019-07-11 |
| 1013404011 | Made Positive, Inc. | Community/Behavioral Health | 3443 Esplanade Ave., Suite 215, New Orleans, LA 70119 | 2018-04-16 |
| 1972008654 | Griffin Caballero Brown | Student in an Organized Health Care Education/Training Program | 520 Jefferson Davis Hwy, New Orleans, LA 70119 | 2018-03-26 |
| 1902300544 | Kyle Raymond Hoppens | Student in an Organized Health Care Education/Training Program | 4502 Saint Ann Street, New Orleans, LA 70119 | 2018-03-20 |
| Find all providers in zip 70119 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114567302 | Ruth Bermudez | Peer Specialist | 4747 Earhart Blvd Suite D, New Orleans, LA 70127 | 2020-01-15 |
| 1386284693 | Derrick D Landry | Peer Specialist | 7812 Shelly St, New Orleans, LA 70126-1435 | 2020-01-14 |
| 1902446701 | Shapiro C Dumas | Peer Specialist | 1025 S Clark St, New Orleans, LA 70125-1203 | 2020-01-09 |
| 1861032666 | Dijon Murray | Peer Specialist | 6331 Curran Blvd, New Orleans, LA 70126-1407 | 2020-01-09 |
| 1942686217 | Vernisha Villanueva | Peer Specialist | 1817 Columbus St, New Orleans, LA 70116-1712 | 2015-08-10 |
| 1760093686 | Keshawn Monique Harris | Peer Specialist | 4747 Earhart Blvd, New Orleans, LA 70125-1743 | 2020-08-13 |
| 1497371983 | Lajuanda Logan | Peer Specialist | 4747 Earhart Blvd Ste D, New Orleans, LA 70125-1747 | 2020-06-19 |
| 1639791023 | Ian Brenner Snell | Peer Specialist | 4747 Earhart Blvd Ste D, New Orleans, LA 70125-1747 | 2020-05-08 |
| 1356963888 | Anastasia Payton | Peer Specialist | 4747 Earhart Blvd Ste D, New Orleans, LA 70125-1747 | 2020-05-06 |
| 1730708983 | Odelia Elizabeth Nixon | Peer Specialist | 4747 Earhart Blvd Ste D, New Orleans, LA 70125-1747 | 2020-04-08 |
| Find all providers in NEW ORLEANS | ||||
| City | NEW ORLEANS |
| Zip Code | 70119 |
Please comment or provide details below to improve the information on CANTRELLE WILLIAMS.
| 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.