CLINT DUPRE (NPI# 1992101240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992101240 |
| Entity Type | Individual |
| Full Name | CLINT DUPRE |
| Credential | LPN |
| Practice Address |
4105 Kirkman St Lake Charles LA 70607-4603 |
| Practice Telephone | 3374758022 |
| Practice Fax Number | 3374758054 |
| Mailing Telephone | 3374758022 |
| Mailing Fax Number | 3374758054 |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2014-11-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 260970 | LA | Nursing Service Providers |
| Street Address |
4105 KIRKMAN ST |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70607-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578517439 | Craig D. Waggoner | Psychologist | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2006-05-22 |
| 1659988343 | Katie Bruce | Pharmacist | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2020-09-26 |
| 1598245623 | Imperial Calcasieu Human Services Authority | Clinic/Center | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2018-08-17 |
| 1730698838 | Rebecca Becky Perry | Social Worker | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2017-09-21 |
| 1538566336 | Troy Barrow | Registered Nurse | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2014-11-24 |
| 1386057891 | Vicki Ann Lebleu | Nurse Practitioner | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2014-06-03 |
| 1750792248 | Genoa Healthcare, LLC | Pharmacy | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2014-05-19 |
| 1376971200 | Lexi Berryhill | Social Worker | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2013-11-01 |
| 1700127487 | Dana Young | Counselor | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2013-03-06 |
| 1730420530 | Sandy Marie Faulk | Counselor | 4105 Kirkman St, Lake Charles, LA 70607-4603 | 2013-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710596283 | Dakota Loosemore | Student in an Organized Health Care Education/Training Program | 800 East Mcneese Street, Lake Charles, LA 70607 | 2020-07-30 |
| 1467003822 | Sarah Jane Walley | Specialist/Technologist | 800 E Mcneese Street, Lake Charles, LA 70607 | 2019-09-26 |
| 1770053902 | Antonio Rivera | Chiropractor | 2625 Dillard Loop, Suite C, Lake Charles, LA 70607 | 2018-11-30 |
| 1851861330 | Shannon Marie Melvin | Specialist/Technologist | 800 East Mcneese, Lake Charles, LA 70607 | 2018-11-28 |
| 1326517699 | Vincent Michael Williams | Specialist/Technologist | 800 East Mcneese St, Lake Charles, LA 70607 | 2018-11-16 |
| 1396263356 | Lake Area Physician Services LLC | Durable Medical Equipment & Medical Supplies | 10071 Hwy 385, Lake Charles, LA 70607 | 2017-08-30 |
| 1023556370 | Heath Bryan Coleman, Dds of Louisiana II, A Professional Dental LLC | Dentist | 2625 Dillard Loop, Ste A, Lake Charles, LA 70607 | 2017-02-07 |
| 1750741880 | Townsend Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 635a Petro Point Dr, Lake Charles, LA 70607 | 2016-03-02 |
| 1194081414 | Clint Nickolas Lincoln | Family Medicine | 10071 Gulf Hwy, Lake Charles, LA 70607 | 2012-04-11 |
| 1295976652 | John Leroy Speer | Dentist | 3425 Louisiana Ave., Lake Charles, LA 70607 | 2009-03-16 |
| Find all providers in zip 70607 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881151082 | Gladys Davis | Licensed Practical Nurse | 2411 Ernest St, Lake Charles, LA 70601-7265 | 2019-02-23 |
| 1861963035 | Angel Wilson | Licensed Practical Nurse | 3440 Skipper St, Lake Charles, LA 70607-7599 | 2018-12-16 |
| 1033604541 | Holly Elizabeth Sann | Licensed Practical Nurse | 2110 Oak Blvd, Lake Charles, LA 70601 | 2018-06-27 |
| 1336513746 | Brandy Marie Bertrand | Licensed Practical Nurse | 900 Country Club Rd, Lake Charles, LA 70605-6018 | 2015-11-23 |
| 1417397761 | Ericka Karisha Williams | Licensed Practical Nurse | 2932 Hillcrest Dr, Lake Charles, LA 70615-8021 | 2013-07-01 |
| 1063726248 | Elisha Dianne Conner | Licensed Practical Nurse | 2915 Fitzenrieter Rd, Lake Charles, LA 70615-1314 | 2010-07-30 |
| 1346577855 | Danella Taylor-sonnier | Licensed Practical Nurse | 801 Williams St., Lake Charles, LA 70601 | 2009-11-05 |
| 1013552744 | Levince Oliver Peeples | Licensed Practical Nurse | 2110 Oak Park Blvd, Lake Charles, LA 70601-7864 | 2019-11-18 |
| 1447803598 | Adrain Medlow | Licensed Practical Nurse | 2110 Oak Park Blvd, Lake Charles, LA 70601-7864 | 2019-07-18 |
| 1992267033 | Mishayla Vincent | Licensed Practical Nurse | 2411 Ernest St, Lake Charles, LA 70601-7265 | 2019-04-05 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70607 |
Please comment or provide details below to improve the information on CLINT DUPRE.
| 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.