HEATH NICHOLS (NPI# 1861808420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861808420 |
| Entity Type | Individual |
| Full Name | HEATH NICHOLS |
| Practice Address |
3311 Prescott Rd Ste 202 Alexandria LA 71301-3983 |
| Practice Telephone | 3184420106 |
| Practice Fax Number | 3184488918 |
| Mailing Telephone | 3184420106 |
| Mailing Fax Number | 3184488918 |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2014-07-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 227900000X | Respiratory Therapist, Registered | RRT.L01678 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 242T00000X | Perfusionist | PEF.200133 | LA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
3311 PRESCOTT RD STE 202 |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71301-3983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104984293 | Louisiana Cardiovascular & Thoracic Institute, LLC | Specialist | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2006-12-04 |
| 1104471325 | Amanda B Scully | Specialist/Technologist, Other | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2019-08-05 |
| 1356900716 | Cydnie Cooper Plaisance | Nurse Practitioner | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2019-06-10 |
| 1588155006 | Courtnie Clark Graves | Perfusionist | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2018-05-21 |
| 1104323989 | Jeremy Lynn Brazzell | Specialist/Technologist, Other | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2018-04-09 |
| 1043715212 | Clayton Charles Roberts | Specialist/Technologist, Other | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2018-03-28 |
| 1881065647 | Katie Van Hoof Peterson | Specialist/Technologist, Other | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2015-10-19 |
| 1164892204 | Kacey Rae Buckner Lopez | Physician Assistant | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2015-10-01 |
| 1235576364 | John H Bowling | Specialist/Technologist, Other | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2013-05-30 |
| 1568809747 | Troy J Pavlovich | Perfusionist | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2013-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689217457 | Geaux Trans Transportation | Non-emergency Medical Transport (VAN) | 3101 Quail Court Apt A, Alexanadria, LA 71301 | 2019-10-23 |
| 1679115497 | Emily Belgard | Case Manager/Care Coordinator | 1715 Ashley Avenue, Suite A, Alexandria, LA 71301 | 2019-10-14 |
| 1316591878 | Leronisha Murphey | Technician | 1300 Jackson Street, Alexandria, LA 71301 | 2019-08-01 |
| 1144782996 | Ashley Billings | Student in an Organized Health Care Education/Training Program | 403 E 3rd Street Ste 3h, Family Medicine, Alexandria, LA 71301 | 2019-04-02 |
| 1740753110 | Maranda Trotti Voorhies | Nurse Practitioner | 501 Medical Center Dr. Suite 200, Alexandria, LA 71301 | 2019-01-08 |
| 1326565359 | Sheryl Ann Truman | Registered Nurse | 3224 Madonna Drive, Alexandria, LA 71301 | 2017-08-30 |
| 1770001620 | Casey Holts | Counselor | 5760 Goodland Trace, Alexandria, LA 71301 | 2017-08-30 |
| 1942735956 | Transforming Lives, Inc. | Community/Behavioral Health | 1428 Peterman Dr Ste A, Alexandria, LA 71301 | 2017-04-27 |
| 1790216703 | Johnnetta Rutledge | Counselor | 39 Kent Ave, Alexandria, LA 71301 | 2017-03-22 |
| 1104367788 | Clarissa Dione Pugh | Counselor | 23 Tennessee Ave, Alexandria, LA 71301 | 2017-03-15 |
| Find all providers in zip 71301 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
| Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588155006 | Courtnie Clark Graves | Perfusionist | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2018-05-21 |
| 1568809747 | Troy J Pavlovich | Perfusionist | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2013-05-29 |
| 1376688762 | Donna Turner | Perfusionist | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2007-02-21 |
| 1740325141 | Clinton Paul Robertson | Perfusionist | 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 | 2007-02-21 |
| 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 |
| 1780294819 | Carla Maul | Perfusionist | 9245 2nd St, River Ridge, LA 70123-2845 | 2020-08-04 |
| 1013515253 | Charles Major | Perfusionist | 2400 Canal St, New Orleans, LA 70119-6535 | 2020-10-10 |
| 1932437886 | David Dawson IIi | Perfusionist | 8585 Picardy Ave, C/o Operating Room, Baton Rouge, LA 70809-3679 | 2009-12-03 |
| City | ALEXANDRIA |
| Zip Code | 71301 |
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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.