NICOLE MAE SAN MATEO MERCADO (NPI# 1851848063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851848063 |
| Entity Type | Individual |
| Full Name | NICOLE MAE SAN MATEO MERCADO |
| Credential | PA-C |
| Practice Address |
2500 Belle Chasse Hwy Terrytown LA 70056-7127 |
| Practice Telephone | 5043923131 |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 303576 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2500 BELLE CHASSE HWY |
| City | TERRYTOWN |
| State | LA |
| Zip Code | 70056-7127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124655535 | Randi Mischel Beltz | Registered Nurse | 2500 Belle Chasse Hwy, Terrytown, LA 70056-7127 | 2020-03-25 |
| 1336628692 | Alan Andrew Nguyen | Physician Assistant | 2500 Belle Chasse Hwy, Terrytown, LA 70056-7127 | 2018-08-08 |
| 1033696299 | Jessica Catherine Cedotal | Physician Assistant | 2500 Belle Chasse Hwy, Terrytown, LA 70056-7127 | 2018-07-20 |
| 1194219287 | Daniel Glynn Showers | Physician Assistant | 2500 Belle Chasse Hwy, Terrytown, LA 70056-7127 | 2018-06-21 |
| 1699299818 | Paul Michael Triche Jr. | Hospitalist | 2500 Belle Chasse Hwy, Terrytown, LA 70056-7127 | 2017-07-29 |
| 1891218657 | Mary Elizabeth Truxillo | Nurse Practitioner | 2500 Belle Chasse Hwy, Terrytown, LA 70056-7127 | 2017-07-24 |
| 1043746936 | Amanda Christine Leblanc | Physician Assistant | 2500 Belle Chasse Hwy, Terrytown, LA 70056-7127 | 2017-05-11 |
| 1174056394 | Jamie Lynn Jones | Internal Medicine | 2500 Belle Chasse Hwy, Terrytown, LA 70056-7127 | 2017-04-05 |
| 1033663539 | Aimee Breland Barrois | Nurse Practitioner | 2500 Belle Chasse Hwy, Terrytown, LA 70056-7127 | 2016-08-12 |
| 1710331244 | Ashley Coleman-walker | Emergency Medicine | 2500 Belle Chasse Hwy, Terrytown, LA 70056-7127 | 2016-04-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023634169 | Krewe Wellness | Counselor | 2112 Belle Chasse Hwy Ste 8, #156, Gretna, LA 70056 | 2020-06-24 |
| 1205459732 | Gulf Coast Medical Specialists LLC | Internal Medicine | 1620 Belle Chasse Hwy Suite 101, Gretna, LA 70056 | 2020-05-19 |
| 1427530872 | Anna Marie Mckeon Jr. | Social Worker | 410 W. Butterfly Circle, Terrytown, LA 70056 | 2018-09-02 |
| 1558843219 | Nikell Thompson Fortia | Non-emergency Medical Transport (VAN) | 561 Morningside Dr, Gretna, LA 70056 | 2018-08-29 |
| 1861979379 | Irajuan L Cooley | Case Manager/Care Coordinator | 1620 Carol Sue Ave Apt 219, Gretna, LA 70056 | 2018-07-26 |
| 1457842528 | Veronica Stevenson | Case Manager/Care Coordinator | 1799 Stumpf Blvd Ste 4a, Terrytown, LA 70056 | 2018-05-24 |
| 1184126278 | Elesha Loston | Case Manager/Care Coordinator | 1799 Stumpf Blvd. Bldg .7 Suite 9a, Gretna, LA 70056 | 2018-03-05 |
| 1336656149 | Porsha D Causey | Counselor | 1799 Stumpf Blvd Bldg 7 Ste 10, Ste 10, Gretna, LA 70056 | 2018-01-02 |
| 1265950745 | Tamika Nicole Deville | Counselor | Advanced Therapeutic, 1799 Stumpf Blvd Bld 3 Ste 4b, Terrytown, LA 70056 | 2017-09-05 |
| 1679098792 | Clear Head Inc | Clinic/Center | 2310 Park Place Dr., Terrytown, LA 70056 | 2017-08-09 |
| Find all providers in zip 70056 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336628692 | Alan Andrew Nguyen | Physician Assistant | 2500 Belle Chasse Hwy, Terrytown, LA 70056-7127 | 2018-08-08 |
| 1033696299 | Jessica Catherine Cedotal | Physician Assistant | 2500 Belle Chasse Hwy, Terrytown, LA 70056-7127 | 2018-07-20 |
| 1194219287 | Daniel Glynn Showers | Physician Assistant | 2500 Belle Chasse Hwy, Terrytown, LA 70056-7127 | 2018-06-21 |
| 1043746936 | Amanda Christine Leblanc | Physician Assistant | 2500 Belle Chasse Hwy, Terrytown, LA 70056-7127 | 2017-05-11 |
| 1013318351 | Leslie Manuel | Physician Assistant | 2600 Belle Chasse Hwy, Terrytown, LA 70056-7156 | 2014-09-05 |
| 1821401779 | Mary Katherine Negrotto Gunther | Physician Assistant | 2500 Belle Chasse Hwy, Terrytown, LA 70056-7127 | 2014-06-09 |
| 1245653237 | Belle Chasse Physician Services LLC | Physician Assistant | 2500 Belle Chasse Hwy, Terrytown, LA 70056-7127 | 2014-01-27 |
| 1275560849 | Stephen Ryan Honeycutt | Physician Assistant | 2600 Belle Chasse Hwy, Suite I, Terrytown, LA 70056-7156 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093478 | Alexis Kylie Spence | Physician Assistant | 1668 Us 51 N, Ponchatoula, LA 70454 | 2020-11-02 |
| 1134728769 | Hannah Michael | Physician Assistant | 8249 Vincent Rd, Denham Springs, LA 70726-6279 | 2020-10-24 |
| 1366041402 | Dillon Michael Kelly | Physician Assistant | 1214 Coolidge St., Lafayette, LA 70503-2621 | 2020-10-20 |
| 1710584263 | Kaycie Fontenot Setliff | Physician Assistant | 1111 Medical Center Blvd Ste North406, Marrero, LA 70072-3151 | 2020-10-07 |
| 1669089389 | Emily Marie Bruce | Physician Assistant | 112 Peytral Dr, Raceland, LA 70394-2016 | 2020-09-27 |
| 1740891431 | Haley Webre | Physician Assistant | 110 Avery St, Luling, LA 70070-2180 | 2020-08-14 |
| 1508474958 | Katherine Whittington | Physician Assistant | 778 Albert Hart Dr, Baton Rouge, LA 70808-5805 | 2020-07-21 |
| 1629693502 | Laura Rose Murray | Physician Assistant | 330 Julia St Apt 308, New Orleans, LA 70130-3682 | 2020-06-16 |
| 1639793714 | Lillian Madin | Physician Assistant | 3312 Dumaine St, New Orleans, LA 70119-3911 | 2020-06-03 |
| 1043832579 | Sarah Hassien Daigle | Physician Assistant | 324 Madison Crossing Dr, Sulphur, LA 70665-8791 | 2020-05-06 |
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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.