MICHELLE E SIERRA (NPI# 1972508380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972508380 |
| Entity Type | Individual |
| Full Name | MICHELLE E SIERRA |
| Credential | PT |
| Practice Address |
653 Myrtle Drive Covington LA 70433 |
| Practice Telephone | 9858934700 |
| Practice Fax Number | 9858933211 |
| Mailing Telephone | 9858934700 |
| Mailing Fax Number | 9858933211 |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2018-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | 02679 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
02679 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | AETNA PROVIDER NUMBER | 5211614 | 01 |
| LA | BLUE CROSS BLUE SHIELD | 535-67-3751A | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1290 Front St Ste 1b, Slidell, LA 704582000 | 9853267260 | 9853267261 |
| 7520 Westbank Expy, Ste D, Marrero, LA 700722354 | 5043714226 | 5043714228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194266767 | Michelle Sierra | Physical Therapist | 9140 Sw 123rd Ct, Q404, Miami, FL 33186-1974 | 2017-03-16 |
| 1427302165 | Michelle Lee Sierra | Marriage & Family Therapist | 3200 W Highland Blvd, Milwaukee, WI 53208-3252 | 2012-11-02 |
| Street Address |
653 MYRTLE DRIVE |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245649656 | Cathy-anne Delaune Prieto | Physical Therapist | 653 Myrtle Drive, Covington, LA 70433 | 2014-08-11 |
| 1639267974 | Dynamic Physical Therapy Services LLC | Physical Therapist | 653 Myrtle Drive, Covington, LA 70433 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053850925 | Gina Shields New | Physical Therapist | 1500 James Simpson Jr Drive, Covington, KY 41011 | 2017-02-13 |
| 1972040228 | Lauren Chappetta King | Physical Therapist | Movement Science Center, 1201 Ochsner Blvd, Covington, LA 70433 | 2017-01-25 |
| 1740810100 | Donald Martin Ponzo Jr. | Physical Therapist | 653 Myrtle Dr, Covington, LA 70433-8225 | 2020-01-23 |
| 1790190353 | Emily Lafleur | Physical Therapist | 1550 Ochsner Blvd, Covington, LA 70433-8192 | 2014-06-23 |
| 1932456142 | Christopher Baracco | Physical Therapist | 1201 Ochsner Blvd, Suite A, Covington, LA 70433-8147 | 2012-08-07 |
| 1083853899 | Germaine Lee Silva | Physical Therapist | 1010 S Polk St, Suite 2, Covington, LA 70433-2474 | 2009-02-18 |
| 1639267974 | Dynamic Physical Therapy Services LLC | Physical Therapist | 653 Myrtle Drive, Covington, LA 70433 | 2006-10-11 |
| 1841247822 | Douglas Young IIi | Physical Therapist | 3211 Iris Dr, Covington, GA 30016-0907 | 2006-05-27 |
| 1700841632 | Jonathan E. Koontz | Physical Therapist | 3211 Iris Dr, Covington, GA 30016-0907 | 2006-04-20 |
| 1508821976 | Steven H. Speeler | Physical Therapist | 3211 Iris Dr, Covington, GA 30016-0907 | 2006-04-19 |
| Find all providers in COVINGTON | ||||
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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.