MRS. AMELIA C JETER (NPI# 1912138280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912138280 |
| Entity Type | Individual |
| Full Name | MRS. AMELIA C JETER |
| Other Name | MISS AMELIA RAY |
| Credential | NP |
| Practice Address |
104 Morris Cir Homer LA 71040-2100 |
| Practice Telephone | 3189276777 |
| Practice Fax Number | 3189276714 |
| Mailing Telephone | 3189271110 |
| Mailing Fax Number | 3189271116 |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2014-12-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN073583 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP05936 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
2178 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
104 MORRIS CIR |
| City | HOMER |
| State | LA |
| Zip Code | 71040-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134120355 | Ariel G.t. Ton | Internal Medicine | 104 Morris Cir, Homer, LA 71040-2100 | 2005-08-10 |
| 1497787691 | Ashley Simpson Thomas | Nurse Practitioner | 104 Morris Cir, Homer, LA 71040-2100 | 2006-07-07 |
| 1013949213 | Camille Thompson Wise | Nurse Practitioner | 104 Morris Cir, Homer, LA 71040-2100 | 2006-07-07 |
| 1669402582 | John Henry Smith IIi | Family Medicine | 104 Morris Cir, Homer, LA 71040-2100 | 2006-07-04 |
| 1831137579 | Helen Denise Butler | Nurse Practitioner | 104 Morris Cir, Homer, LA 71040 | 2006-06-03 |
| 1033175906 | Family Medical Clinic of Homer, La Inc | Family Medicine | 104 Morris Cir, Homer, LA 71040-2100 | 2006-04-21 |
| 1346205507 | Clifton Wales Salmon Jr. | Family Medicine | 104 Morris Cir, Homer, LA 71040-2100 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609066646 | Homer Memorial Hospital | Nurse Anesthetist, Certified Registered | 620 East College St., Homer, LA 71040 | 2007-07-26 |
| 1881806164 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 598 Harmon Loop, Homer, LA 71040 | 2007-05-07 |
| 1104048214 | A and L of Northeast La Inc | Day Training, Developmentally Disabled Services | 911 West Main, Homer, LA 71040 | 2007-05-02 |
| 1356409619 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 3250 Hwy 79, Homer, LA 71040 | 2006-12-05 |
| 1851343529 | Claiborne Manor Nursing Home, LLC | Skilled Nursing Facility | 6942 Highway 79 North, Homer, LA 71040 | 2006-05-17 |
| 1679523807 | Larry Don Ezell | Emergency Medicine | 620 Ecollege Street, Homer, LA 71040 | 2006-05-10 |
| 1386856680 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 598 Harmon Loop, Homer, LA 71040 | 2007-05-07 |
| 1720290034 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 598 Harmon Loop, Homer, LA 71040 | 2007-05-07 |
| 1245452234 | Melvin Harold Procell | Dentist | 5220 Highway 79, Homer, LA 71040-2002 | 2007-05-02 |
| 1699225813 | Claiborne Operator Group LLC | Skilled Nursing Facility | 6942 Highway 79, Homer, LA 71040-2023 | 2016-10-12 |
| Find all providers in zip 71040 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396198388 | Lisa Zatz | Nurse Practitioner | 178 E Bunnell Ave, Homer, AK 99603-7843 | 2016-07-14 |
| 1720101132 | Donna Marie Fenske | Nurse Practitioner | 426 E Bayview Ave, Homer, AK 99603-7117 | 2007-04-09 |
| 1316916596 | Rebecca L Noble | Nurse Practitioner | 880 East End Rd, Seldovia Village Tribe, Homer, AK 99603 | 2006-03-17 |
| 1588632483 | Valerie A Wills | Nurse Practitioner | 1244 Historic Homer Hwy, Homer, GA 30547-2737 | 2006-03-08 |
| 1871599126 | Carol Lynn Klamser | Nurse Practitioner | 4141 Pennock St, Homer, AK 99603-7223 | 2005-06-22 |
| 1144758004 | Anna Jeanne Williams | Nurse Practitioner | 4136 Bartlett St, Homer, AK 99603-7001 | 2017-05-23 |
| 1952784209 | Courtney Brooks | Nurse Practitioner | 912 W Main St, Homer, LA 71040-3328 | 2015-07-06 |
| 1811304074 | Ekara N Wafer-mendenhall | Nurse Practitioner | 620 E College St, Homer, LA 71040-3202 | 2014-07-18 |
| 1194158774 | Christine Sophia Brubaker | Nurse Practitioner | 880 E End Rd, Homer, AK 99603-7201 | 2013-08-19 |
| 1083902027 | Lisa A Olson-gugerty | Nurse Practitioner | 82 Copeland Ave, Homer, NY 13077-1528 | 2011-07-12 |
| Find all providers in HOMER | ||||
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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.