DERREK SHANE OAKLEY (NPI# 1902882186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902882186 |
| Entity Type | Individual |
| Full Name | DERREK SHANE OAKLEY |
| Credential | D.C. |
| Practice Address |
17487 Old Jefferson Hwy Prairieville LA 70769-4018 |
| Mailing Address |
Po Box 1708 Prairieville LA 70769-1708 |
| Practice Telephone | 2256777777 |
| Practice Fax Number | 2256777778 |
| Mailing Telephone | 2256777777 |
| Mailing Fax Number | 2256777778 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1118 | LA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BLUE CROSS BLUE SHIELD | F0756 | 01 |
| Street Address |
17487 OLD JEFFERSON HWY |
| City | PRAIRIEVILLE |
| State | LA |
| Zip Code | 70769-4018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215242045 | Patrick W. Bourque, D.c., Inc | Chiropractor | 17487 Old Jefferson Hwy, Suite D, Prairieville, LA 70769-4043 | 2010-08-17 |
| 1104939271 | Patrick W. Bourque | Chiropractor | 17487 Old Jefferson Hwy, Suite D, Prairieville, LA 70769-4043 | 2006-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124670252 | Lam Dentistry | Clinic/Center | 37341 Perkins Road, Prairieville, LA 70769 | 2019-07-09 |
| 1124597836 | Tien-trang Thi Le | Pharmacist | 40567 La-42, Prairieville, LA 70769 | 2018-11-26 |
| 1245707884 | Prairieville Emergency Physicians, Pllc | General Acute Care Hospital | 37358 Market Place Dr., Prairieville, LA 70769 | 2018-11-01 |
| 1750858387 | Prairieville General Hospital, LLC | Emergency Medicine | 37358 Market Place Drive, Prairieville, LA 70769 | 2018-11-01 |
| 1003311234 | Toni Duhe Byers | Counselor | 40228 Parker Road, Prairieville, LA 70769 | 2018-03-29 |
| 1205330990 | Grace Family Chiropractic LLC | Chiropractor | 37283 Swamp Rd Ste 1001, Prairieville, LA 70769 | 2018-03-19 |
| 1184127698 | Kenya Smith | Case Manager/Care Coordinator | 36369 Crestway Ave, Prairieville, LA 70769 | 2018-03-10 |
| 1376055798 | Jennifer Gravois Granier | Pharmacist | 40567 La Hwy 42, Prairieville, LA 70769 | 2017-10-25 |
| 1417474339 | Ascension Medical Associates, LLC | Psychiatry & Neurology | 37325 Market Place Dr., Suite D, Prairieville, LA 70769 | 2017-08-23 |
| 1629598537 | Keshla Washington | Specialist/Technologist | 36505 Oak Plaza Ave, Suite B, Prairieville, LA 70769 | 2017-06-21 |
| Find all providers in zip 70769 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205330990 | Grace Family Chiropractic LLC | Chiropractor | 37283 Swamp Rd Ste 1001, Prairieville, LA 70769 | 2018-03-19 |
| 1619312089 | Magnolia Chiropractic Center, LLC | Chiropractor | 17278 Airline Hwy, Ste. C, Prairieville, LA 70769-3453 | 2013-04-30 |
| 1093150443 | Joshua Paul Blanchard | Chiropractor | 16573 Airline Hwy # B, Prairieville, LA 70769-3431 | 2013-04-29 |
| 1114231438 | Todd Harris Litten | Chiropractor | 17278 Airline Hwy Ste C, Prairieville, LA 70769-3451 | 2010-07-28 |
| 1982874285 | Jessica B Lee | Chiropractor | 37283 Swamp Rd, Ste 1001, Prairieville, LA 70769-3298 | 2008-03-03 |
| 1336286665 | John Kevin Martin | Chiropractor | 37053-b. Perkins Rd, Prairieville, LA 70769 | 2007-01-30 |
| 1487708038 | James Warren Leger Jr. | Chiropractor | 38480 Highway 42, Prairieville, LA 70769-4013 | 2007-01-22 |
| 1316594906 | Sydney Leigh Mitton | Chiropractor | 37283 Swamp Rd Ste 1001, Prairieville, LA 70769-3298 | 2019-08-20 |
| 1639666357 | Walter Edward Smith | Chiropractor | 37283 Swamp Rd Ste 1001, Prairieville, LA 70769-3298 | 2018-04-18 |
| 1679965248 | Shelly Chiropractic LLC | Chiropractor | 17534 Old Jefferson Hwy, Suite C2, Prairieville, LA 70769-3978 | 2015-02-19 |
| Find all providers in PRAIRIEVILLE | ||||
| City | PRAIRIEVILLE |
| Zip Code | 70769 |
Please comment or provide details below to improve the information on DERREK SHANE OAKLEY.
| 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.