MODNATH SANGROULA (NPI# 1952900250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952900250 |
| Entity Type | Individual |
| Full Name | MODNATH SANGROULA |
| Practice Address |
4864 Jackson St Monroe LA 71202-6400 |
| Practice Telephone | 3183307600 |
| Mailing Telephone | 3183307600 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4864 JACKSON ST |
| City | MONROE |
| State | LA |
| Zip Code | 71202-6400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215939210 | Brfhh Monroe LLC | General Acute Care Hospital | 4864 Jackson St, Hospital Administration, Monroe, LA 71202-6400 | 2005-08-10 |
| 1265030258 | Aastha Garg | Student in an Organized Health Care Education/Training Program | 4864 Jackson St, Monroe, LA 71202-6400 | 2020-10-13 |
| 1639776917 | Yagyesh Karki | Student in an Organized Health Care Education/Training Program | 4864 Jackson St, Monroe, LA 71202-6400 | 2020-10-08 |
| 1265039366 | Jessica Hagan | Nurse Practitioner | 4864 Jackson St, Monroe, LA 71202-6400 | 2020-10-02 |
| 1295332302 | Takinya Raneese Binion-minor | Nurse Practitioner | 4864 Jackson St, Monroe, LA 71202-6400 | 2020-10-02 |
| 1346857604 | Jamie Lynn Putnam Guillot | Nurse Practitioner | 4864 Jackson St, Monroe, LA 71202-6400 | 2020-09-30 |
| 1275149601 | Hemanth Kilaru | Student in an Organized Health Care Education/Training Program | 4864 Jackson St, Monroe, LA 71202-6400 | 2020-09-21 |
| 1457966525 | Julia Lynn Bell | Nurse Anesthetist, Certified Registered | 4864 Jackson St, Monroe, LA 71202-6400 | 2020-09-15 |
| 1821628165 | Lauren Holston Walker | Nurse Practitioner | 4864 Jackson St, Monroe, LA 71202-6400 | 2020-01-24 |
| 1780228841 | Carolyn E Shepherd | Nurse Practitioner | 4864 Jackson St, Monroe, LA 71202-6400 | 2019-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170726 | Ap&g Transportation LLC | Non-emergency Medical Transport (VAN) | 211 Malvern St., Monroe, LA 71202 | 2020-09-30 |
| 1902419625 | Marilyn F Goldman | Non-emergency Medical Transport (VAN) | 1001 Wilton Dr, Monroe, LA 71202 | 2020-08-24 |
| 1114583069 | Brandon Rashaard Collins | Case Manager/Care Coordinator | 5504 Robinson Drive, Monroe, LA 71202 | 2019-05-16 |
| 1285131326 | Jerrel Stills | Counselor | 296 Forest Oaks Rd, Monroe, LA 71202 | 2018-04-06 |
| 1164930269 | Jakira Gibson | Case Manager/Care Coordinator | 308 Vegas Dr, Monroe, LA 71202 | 2018-01-11 |
| 1457870321 | Whitney Nicole Allen | Counselor | 806 North 31st Street, Monroe, LA 71202 | 2017-09-12 |
| 1821535527 | Collins Wade | Counselor | 808 S. Second St., Monroe, LA 71202 | 2017-01-20 |
| 1821533639 | Geoi Smart | Social Worker | 1602 Oaklawn Dr, Monroe, LA 71202 | 2017-01-03 |
| 1699124214 | Melody Miller | Case Manager/Care Coordinator | 205 Stacy Dr Apt A, Monroe, LA 71202 | 2016-06-04 |
| 1548618192 | Samuel Anjera Spivey Jr. | Case Manager/Care Coordinator | 110 Blackwood Dr, Monroe, LA 71202 | 2016-05-24 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144048 | Travis Thomas Phillips | Student in an Organized Health Care Education/Training Program | 2912 Hargette Rd, Monroe, NC 28112-8142 | 2020-11-08 |
| 1588293179 | John Braxton Phifer | Student in an Organized Health Care Education/Training Program | 7005 Fairview Ct, Monroe, NC 28110-8922 | 2020-04-06 |
| 1215588009 | Micaela Earle Kwochka | Student in an Organized Health Care Education/Training Program | 17 Sunrise Ter, Monroe, CT 06468-2925 | 2019-09-24 |
| 1346705407 | Jaclyn Ketterer | Student in an Organized Health Care Education/Training Program | 394 Old Dutch Hollow Rd, Monroe, NY 10950-4575 | 2019-02-04 |
| 1659860922 | Sonia Victoria Altavilla | Student in an Organized Health Care Education/Training Program | 246 Barn Hill Rd, Monroe, CT 06468-2015 | 2018-05-02 |
| 1477086254 | Mina Siddiqui | Student in an Organized Health Care Education/Training Program | 15 Del Mar Way, Monroe, NJ 08831-5823 | 2017-04-07 |
| 1346780384 | Amanda Vojta | Student in an Organized Health Care Education/Training Program | 9 Roanoke Dr, Monroe, NY 10950-2207 | 2017-02-23 |
| 1518326628 | Stephen Amburgey | Student in an Organized Health Care Education/Training Program | 221 Bethel Ln, Monroe, VA 24574-3114 | 2016-02-17 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1336418466 | Ashley Breanne Karow | Student in an Organized Health Care Education/Training Program | 3220 Parkwood School Rd, Monroe, NC 28112-0001 | 2011-12-19 |
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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.