MS. BERNADETTE MICHELLE EVITT (NPI# 1962443804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962443804 |
| Entity Type | Individual |
| Full Name | MS. BERNADETTE MICHELLE EVITT |
| Credential | P.A. |
| Practice Address |
3521 Highway 190 Suite P Eunice LA 70535-5135 |
| Practice Telephone | 3374578040 |
| Practice Fax Number | 3374578043 |
| Mailing Telephone | 3374578040 |
| Mailing Fax Number | 3374578043 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2011-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA.200167 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA9102708 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA200167 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3521 HIGHWAY 190 SUITE P |
| City | EUNICE |
| State | LA |
| Zip Code | 70535-5135 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285690719 | Juliet Robinson Conde | Emergency Medicine | 3521 Highway 190, Suite V, Eunice, LA 70535-5135 | 2006-04-24 |
| 1891152625 | Louisiana Orthopaedic Specialists, LLC | Durable Medical Equipment & Medical Supplies | 3521 Highway 190, Suite C, Eunice, LA 70535-5135 | 2016-01-25 |
| 1285950063 | Craig M. Matherne, M.d., A.p.m.c. | Legal Medicine | 3521 Highway 190, Suite P, Eunice, LA 70535-5135 | 2010-04-19 |
| 1083845036 | Stephanie N Aldret | Family Medicine | 3521 Highway 190, Suite C, Eunice, LA 70535-5135 | 2009-08-06 |
| 1609037225 | John Kalieb Pourciau, Dpm, LLC | Podiatrist | 3521 Highway 190, Ste U, Eunice, LA 70535-5135 | 2008-06-17 |
| 1073724514 | John Matthew Rainey | Family Medicine | 3521 Highway 190, Suite P, Eunice, LA 70535-5135 | 2007-05-25 |
| 1790991701 | Juliet Robinson Md LLC | Internal Medicine | 3521 Highway 190, Suite V, Eunice, LA 70535-5135 | 2007-05-15 |
| 1619911310 | Kermen D. Beauchamp | Pediatrics | 3521 Highway 190, Suite R, Eunice, LA 70535-5135 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588724 | Brittney Clark | Nurse Anesthetist, Certified Registered | 3501 Us 190, Euince, LA 70535 | 2020-01-27 |
| 1346714326 | Brandi Ventress Thompson | Counselor | 304 Wilson Drive, Eunice, LA 70535 | 2019-01-14 |
| 1992285241 | April Murray | Massage Therapist | 121 S. 4th Street, Eunice, LA 70535 | 2018-08-16 |
| 1801382577 | Kristen Duplechin Guillory | Nurse Practitioner | 1970 West Laurel, Eunice, LA 70535 | 2018-07-06 |
| 1346732864 | Hulin Urgent Care Services LLC | Clinic/Center | 1970 West Laurel Ave, Eunice, LA 70535 | 2018-05-31 |
| 1740791664 | Danielle Young | Counselor | 123 Shelly Drive, Eunice, LA 70535 | 2017-10-18 |
| 1386153781 | Shalana Charlot | Counselor | 113 Arkansas St, Eunice, LA 70535 | 2017-09-28 |
| 1053833897 | Keyana Charlot | Counselor | 300 N Cane St, Eunice, LA 70535 | 2017-07-13 |
| 1861912818 | Crystal Gail Marshall | Case Manager/Care Coordinator | 1331 E Maple Ave, Eunice, LA 70535 | 2017-06-21 |
| 1881124477 | Lisa Thomas | Counselor | 711 E Laurel St Suite D, Eunice, LA 70535 | 2017-06-15 |
| Find all providers in zip 70535 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104895689 | Eunice Emergency Group LLC | Physician Assistant | 3501 Highway 190, Eunice, LA 70535-5129 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120307 | Olivia Hockenjos | Physician Assistant | 1000 Chinaberry Dr Ste 1200, Bossier City, LA 71111-2463 | 2020-10-01 |
| 1053928622 | Kennedy Poole | Physician Assistant | 1643 Carter St Ste 1, Vidalia, LA 71373-3157 | 2020-09-28 |
| 1699382176 | Morgan Prejean | Physician Assistant | 11445 Coursey Blvd Ste L, Baton Rouge, LA 70816-0411 | 2020-09-28 |
| 1972118776 | Emma W Bollich | Physician Assistant | 6703 Ambassador Caffery Pkwy Ste 2, Broussard, LA 70518-5283 | 2020-09-09 |
| 1316595937 | Antonia Colombo | Physician Assistant | 2705 Fable St, Meraux, LA 70075-2372 | 2019-08-27 |
| 1861058752 | Christina Daigle | Physician Assistant | 1057 Paul Maillard Rd Ste 2210, Luling, LA 70070-4349 | 2019-05-15 |
| 1376078022 | Brian Ammon | Physician Assistant | 11831 Oakwilde Ave, Baton Rouge, LA 70810-3120 | 2017-05-01 |
| 1912448036 | Christy Stoltz | Physician Assistant | 120 N Pinaud St, Saint Martinville, LA 70582-4732 | 2017-03-09 |
| 1790228013 | Brian Keith Fontenot | Physician Assistant | 2751 Albert L Bicknell Dr Ste 5c, Shreveport, LA 71103-3943 | 2016-11-18 |
| 1932658002 | Taylor Christensen Mahtook | Physician Assistant | 4650 Ambassador Caffery Pkwy Ste 101, Lafayette, LA 70508-6926 | 2016-09-29 |
| Find all providers with the same taxonomy | ||||
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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.