SUSAN L MAHANEY (NPI# 1891338448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891338448 |
Entity Type | Individual |
Full Name | SUSAN L MAHANEY |
Practice Address |
9945 Greentree Ln Shreveport LA 71118-5218 |
Practice Telephone | 3183446761 |
Mailing Telephone | 3183446761 |
Enumeration Date | 2019-10-25 |
Last Update Date | 2019-10-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
792677200 | FL | Nursing Service Related Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | N/A | 792677200 | 01 |
Street Address |
9945 GREENTREE LN |
City | SHREVEPORT |
State | LA |
Zip Code | 71118-5218 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720620784 | Wk Center for Pediatric Gastroenterology | Pediatrics | Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 | 2019-10-11 |
1306302443 | Diamond Marie Willis | Case Manager/Care Coordinator | 9403 Mansfield Rd., Shreveport, LA 71118 | 2019-02-13 |
1194224469 | Latosa Hall | Case Manager/Care Coordinator | 9007 Letha Loop, Shreveport, LA 71118 | 2018-02-01 |
1902321623 | Bersheika Lashay Player | Counselor | 9403 Mansfield Road, Shreveport, LA 71118 | 2017-08-03 |
1518487149 | Clarke Jackson | Case Manager/Care Coordinator | 9730 Baird Rd Apt 2310, Shreveport, LA 71118 | 2017-06-24 |
1770010449 | Darrie'l Smith | Counselor | 2715 Mackey, Shreveport, LA 71118 | 2017-05-12 |
1760917041 | Delilah Wells | Case Manager/Care Coordinator | 9005 Walker Rd Apt 722, Shreveport, LA 71118 | 2017-04-25 |
1790229664 | We Care Transporttion Services LLC | Secured Medical Transport (VAN) | 2529 Summer Grove Dr, Shreveport, LA 71118 | 2016-12-13 |
1063955128 | Commanisha Smith | Social Worker | 2715 Mackey Place, Shreveport, LA 71118 | 2016-11-22 |
1023560802 | Yasmin Newman | Counselor | 9812 West Trails End, Shreveport, LA 71118 | 2016-10-27 |
Find all providers in zip 71118 |
Taxonomy Code | 3747A0650X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Attendant Care Provider |
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659984391 | Maurice Jamal Jefferson Sr. | Technician | 542 Columbia St Apt 3, Shreveport, LA 71104-3260 | 2020-08-24 |
1992356869 | Virginia James | Technician | 5312 Kent Ave, Shreveport, LA 71108-3326 | 2019-09-23 |
1861043879 | Schwonna Wilson | Technician | 3820 Crosby St, Shreveport, LA 71109-8014 | 2019-09-23 |
1780191643 | Briana Marie Davis | Technician | 6055 Fox Chase Trl, Shreveport, LA 71129-3504 | 2018-01-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215538012 | Alejandro Manuel Sierra | Technician | 9800 Airline Hwy Ste 121, Baton Rouge, LA 70816-8000 | 2020-11-06 |
1366056459 | Carolyn Mosely | Technician | 42066 Pleasant Rg Ext, Ponchatoula, LA 70454-4718 | 2020-09-04 |
1457965675 | Sandra Elie | Technician | 31050 La Highway 16 Apt 1112, Denham Springs, LA 70726-9006 | 2020-09-04 |
1386254852 | Melanie Singleton | Technician | 2522 Ridge Rd, Duson, LA 70529-3925 | 2020-08-08 |
1184247363 | Beyond Measures Healthcare LLC | Technician | 1000 Court St Ste C, Port Allen, LA 70767-2668 | 2020-05-22 |
1114567005 | Anthony Black | Technician | 2202 Aubin Ln Apt 404, Baton Rouge, LA 70816-8294 | 2020-01-09 |
1538708565 | Mary E Foss-spriggs | Technician | 22102 Wittie Rd, Ponchatoula, LA 70454-5454 | 2019-12-20 |
1629613245 | Judy Peltier Bernard | Technician | 12600 Monger Rd, Jennings, LA 70546-6113 | 2019-11-07 |
1134763956 | Paulette Brown Carey | Technician | 1765 N Gayoso St, New Orleans, LA 70119-2152 | 2019-11-05 |
1346881554 | Delphina Lockette | Technician | 517 Saint Nicholas St, Jeanerette, LA 70544-5024 | 2019-09-30 |
Find all providers with the same taxonomy |
City | SHREVEPORT |
Zip Code | 71118 |
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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.