MEAGAN MARIE DISOTELL (NPI# 1932409232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932409232 |
| Entity Type | Individual |
| Full Name | MEAGAN MARIE DISOTELL |
| Other Name | MEAGAN STEPHAN DISOTELL |
| Credential | NP |
| Practice Address |
1501 Kings Hwy Department of Pediatrics (nicu) Shreveport LA 71103-4228 |
| Practice Telephone | 3186756073 |
| Mailing Telephone | 3186756073 |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2010-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
APO6273 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1501 KINGS HWY DEPARTMENT OF PEDIATRICS (NICU) |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-4228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890769 | F Dean Griffen | Surgery | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2005-06-09 |
| 1336747625 | Lana Nasief | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-09 |
| 1558968834 | Dinesh Regalla | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-08 |
| 1588261283 | Divleen Sidhu | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-10-06 |
| 1023624517 | Grace Hoffman | Pharmacist | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-20 |
| 1194330761 | Yousef Hasan | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-10 |
| 1790399277 | Ricardo Murguia Fuentes | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-02 |
| 1013521509 | Tahir Ahmad | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-02 |
| 1376155309 | Ayesha Malik | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103-4228 | 2020-08-20 |
| 1104438324 | Elleny Gutierrez | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103 | 2020-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417367616 | Sarah Hatfield | Nurse Practitioner | 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 | 2014-04-28 |
| 1003116682 | Kimberly J Bonts | Nurse Practitioner | 2520 Bert Kouns Loop, Suite 215, Shreveport, LA 71118-3130 | 2010-10-28 |
| 1891821153 | Kim Allen | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2007-02-23 |
| 1538216502 | Hubert Debo | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396272084 | Cielena Houck | Nurse Practitioner | 2700napoleon Avenue, New Orleans, LA 70115-6914 | 2017-05-12 |
| 1548702863 | Laura Lynne Duhon | Nurse Practitioner | 6902 E Savannah Ln, Lake Charles, LA 70605-8151 | 2016-11-17 |
| 1275805020 | Paul Wayne Byrd | Nurse Practitioner | 303 Cranbrook Ct, Bossier City, LA 71111-2182 | 2012-02-08 |
| 1073639308 | Cynthia Kay Lagrange | Nurse Practitioner | 6809 W Calcasieu Dr, Lake Charles, LA 70605-0452 | 2007-03-21 |
| 1164579116 | Holly Joiner | Nurse Practitioner | 104 Winterpark Dr, West Monroe, LA 71292-2150 | 2007-01-04 |
| 1164433694 | Celeste Diane Perry | Nurse Practitioner | 107 Montrose Ave., Suite D, Lafayette, LA 70503 | 2006-08-10 |
| 1053918425 | Catelyn Jennifer Myers | Nurse Practitioner | 500 Rue De La Vie St Ste 405, Baton Rouge, LA 70817-5128 | 2020-10-08 |
| 1063046662 | Courtney Lynn Thomas | Nurse Practitioner | 1900 W Gauthier Rd, Lake Charles, LA 70605-7170 | 2020-02-24 |
| 1194358341 | Margaret Coleman | Nurse Practitioner | 4700 S I 10 Service Rd W, Metairie, LA 70001-1269 | 2020-02-17 |
| 1457981292 | Elyse Leigh Poole | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2020-01-21 |
| Find all providers with the same taxonomy | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
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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.