JASON DESSELLE (NPI# 1851774376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851774376 |
| Entity Type | Individual |
| Full Name | JASON DESSELLE |
| Practice Address |
2495 Shreveport Hwy # 71 Pineville LA 71360-4044 |
| Practice Telephone | 3184664020 |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
C50072 | LA | Other Service Providers |
| Street Address |
2495 SHREVEPORT HWY # 71 |
| City | PINEVILLE |
| State | LA |
| Zip Code | 71360-4044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982692364 | Ihor Andrew Zakaluzny | Surgery | 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044 | 2005-10-11 |
| 1063975449 | Jill Baker | Social Worker | 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044 | 2019-04-11 |
| 1235629528 | Tedra Watkins Scott | Social Worker | 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044 | 2018-05-13 |
| 1659888204 | Dean Jan | Pharmacist | 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044 | 2018-01-04 |
| 1104279025 | Gwendolyn Parker | Registered Nurse | 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044 | 2016-07-15 |
| 1205206968 | Delisha Smith | Occupational Therapist | 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044 | 2015-10-06 |
| 1679959092 | Sharin Guinn Deloach | Social Worker | 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044 | 2015-08-07 |
| 1689057770 | Jason Stewart | Physical Therapy Assistant | 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044 | 2015-07-07 |
| 1598145674 | Shaun Steffen Siebeneicher | Physical Therapist | 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044 | 2015-06-04 |
| 1124450374 | Pilar Sheplan Olsen | General Practice | 2495 Shreveport Hwy # 71, Pineville, LA 71360-4044 | 2013-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578110789 | Reneisha Armonii Roberts | Pharmacist | 3100 La-28, Pineville, LA 71360 | 2019-08-22 |
| 1396303145 | Tina Marie Lawhorn | Nurse Practitioner | 2945 Shreveport Hwy, Pineville, LA 71360 | 2019-06-05 |
| 1942773213 | Tioga Pharmacy LLC | Pharmacy | 5101 Shreveport Hwy, Pineville, LA 71360 | 2019-01-09 |
| 1649755497 | Jessica Wooten | Nurse Practitioner | 292 Jerry Lofton Rd, Pineville, LA 71360 | 2018-09-27 |
| 1215421995 | Elizabeth Simon-clark | Counselor | Central La State Hospital Unit 6 Meadows Lane, Pineville, LA 71360 | 2018-06-18 |
| 1982116497 | Dm Properties of Rapides, LLC | Radiology | 2705 Highway 28 E Ste B, Pineville, LA 71360 | 2017-10-25 |
| 1508384587 | Marion Patrick Hazelton I | Counselor | Pathways Red River Treatment Center, 242 West Shamrock Ave Unit 6 Melody Lane, Pineville, LA 71360 | 2017-08-30 |
| 1669902557 | Jessica Williams | Social Worker | Unit 6 Wing A Meadow Lane, Pineville, LA 71360 | 2017-06-14 |
| 1104365840 | Naomi Gates | Social Worker | 242 W Shamrock Unit 1, Pineville, LA 71360 | 2017-02-14 |
| 1861930224 | Sharon Humphrey | Counselor | 5400 Service Rd B206, Pineville, LA 71360 | 2017-02-06 |
| Find all providers in zip 71360 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700483609 | Keondra Prevost | Specialist | 3357 Whisper Ln, Gretna, LA 70056-7788 | 2020-10-04 |
| 1528693736 | Crystal Leblanc | Specialist | 810 Oneal Ln, Baton Rouge, LA 70816-1805 | 2020-03-09 |
| 1518500255 | Extensions & Flow Salon | Specialist | 561 Phyllis Dr, Westwego, LA 70094-2927 | 2019-10-25 |
| 1811542830 | Trenisha Bonton | Specialist | 9626 Airline Hwy Ste 202, Baton Rouge, LA 70815-5564 | 2019-08-06 |
| 1871146605 | Pamela Denise Haynes | Specialist | 116 Maryland St, Hammond, LA 70403-3948 | 2019-07-21 |
| 1639634686 | Tammy Ledet Guillory | Specialist | 1323 12th St, Lake Charles, LA 70601-6377 | 2019-02-04 |
| 1245714997 | Jaleesa Chantell Carprue | Specialist | 5000 Forsythe Byp Ste 114, Monroe, LA 71201-2168 | 2018-09-19 |
| 1598246670 | Athan Joseph Jefferson | Specialist | 1097 S Flannery Rd, Baton Rouge, LA 70815-6920 | 2018-08-27 |
| 1548764996 | Latousha Dorsey | Specialist | 2310 Riverwood Dr Ste C, Bossier City, LA 71111-3498 | 2018-03-21 |
| 1407350812 | Marquita Henderson | Specialist | 1101 Gooseberry Hl, Shreveport, LA 71118-3508 | 2018-03-20 |
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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.