KELLIE GATER (NPI# 1841706769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841706769 |
Entity Type | Individual |
Full Name | KELLIE GATER |
Practice Address |
1111 Medical Center Blvd Ste S650 Marrero LA 70072-3158 |
Mailing Address |
611 Okeefe Ave Apt 5n12 New Orleans LA 70113-1985 |
Practice Telephone | 5043491805 |
Enumeration Date | 2017-12-15 |
Last Update Date | 2020-05-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP09818 | LA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
95008168 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2100 Webster Street, 508, San Francisco, CA 94115 | 4159233070 | |
55 Page St Apt 324, San Francisco, CA 941025993 | 7143305638 |
Street Address |
1111 MEDICAL CENTER BLVD STE S650 |
City | MARRERO |
State | LA |
Zip Code | 70072-3158 |
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 | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598008914 | Sherry Lynn Rivera | Nurse Practitioner | 1111 Medical Center Blvd Ste N511, Marrero, LA 70072-3151 | 2013-04-03 |
1780970194 | Carol F Guidry | Nurse Practitioner | 1111 Medical Center Blvd., Ste. N613, Marrero, LA 70072 | 2011-06-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962003863 | Kristen Dickerson Burns | Nurse Practitioner | 2530 Bert Kouns Industrial Loop Ste 138, Shreveport, LA 71118-6114 | 2020-11-05 |
1932717576 | Tera Rachal Cooke | Nurse Practitioner | 1712 Missile Base Rd, Stonewall, LA 71078-8328 | 2020-07-20 |
1144847211 | Pelican Mobile Health, LLC | Nurse Practitioner | 105 Aycock Rd, Monroe, LA 71203-9335 | 2020-07-06 |
1114575396 | Jennifer Marie Williams | Nurse Practitioner | 327 Industrial Dr, Jonesboro, LA 71251-5498 | 2019-08-30 |
1730735663 | Dannette Furgerson | Nurse Practitioner | 2625 Leaf Ln, Shreveport, LA 71109-3010 | 2019-08-15 |
1285288951 | Valarie Golden Clark | Nurse Practitioner | 441 Route 66, Dequincy, LA 70633-5315 | 2019-07-30 |
1578039921 | Red Stick Healthcare | Nurse Practitioner | 16733 Wenwood Dr, Baton Rouge, LA 70817-6957 | 2018-10-23 |
1730601626 | Jennifer Holifield | Nurse Practitioner | 701 Metairie Rd Ste 2a-220, Metairie, LA 70005-4050 | 2017-07-12 |
1154773521 | Linda H Stodghill | Nurse Practitioner | 212 Rhymes St, Rayville, LA 71269-2917 | 2016-07-08 |
1972972354 | Holistic House Calls LLC | Nurse Practitioner | 1352 Tate Cove Rd, Ville Platte, LA 70586 | 2015-09-16 |
Find all providers with the same taxonomy |
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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.