TYRA COLE (NPI# 1992322010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992322010 |
| Entity Type | Individual |
| Full Name | TYRA COLE |
| Practice Address |
405 Gretna Blvd Ste 112 Gretna LA 70053-4945 |
| Practice Telephone | 5043685905 |
| Practice Fax Number | 5043685906 |
| Mailing Telephone | 5043685905 |
| Mailing Fax Number | 5043685906 |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
405 GRETNA BLVD STE 112 |
| City | GRETNA |
| State | LA |
| Zip Code | 70053-4945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917247 | Lindsey Boler | Case Manager/Care Coordinator | Maxima Group Behavioral Services, 405 Gretna Blvd, LA 70053 | 2020-09-22 |
| 1184254658 | Denni Turner | Counselor | 2100 Belle Chasse Hwy., Gretna, LA 70053 | 2020-01-23 |
| 1871068478 | Nhi Cam Tran | Pharmacist | 629 Derbigny St, Gretna, LA 70053 | 2018-10-10 |
| 1639655574 | Rachel Lynn White | Massage Therapist | 2120 Belle Chase Hwy, Gretna, LA 70053 | 2018-07-13 |
| 1982193165 | Quality Care Home Care LLC | In Home Supportive Care | 310 Huey P Long Ave Ste 109, Gretna, LA 70053 | 2018-05-03 |
| 1073021663 | Nola Psychotherapy Center | Counselor | 405 Gretna Boulevard, Suite 200, Gretna, LA 70053 | 2018-01-17 |
| 1396256707 | Quality Independent Case Management, LLC | Case Management | 1530 Huey P Long Ave, Gretna, LA 70053 | 2017-10-12 |
| 1790223444 | Tekira Fox | Case Manager/Care Coordinator | 1500 Lafayette St. Ste 140, Gretna, LA 70053 | 2017-02-02 |
| 1710359542 | Joshua Washington | Counselor | 2100 Belle Chasse Highway, Gretna, LA 70053 | 2015-10-20 |
| 1174877328 | Audra Javaise Tousaint | Counselor | 405 Gretna Blvd Ste 200, Gretna, LA 70053 | 2012-11-08 |
| Find all providers in zip 70053 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497250609 | Ultimate Healing Wellness Center, LLC | Clinic/Center | 2856 Glenbrook Dr, Gretna, LA 70056-7910 | 2018-03-28 |
| 1578940060 | J.m. Fortino, Md Amedical Corporation | Clinic/Center | 1301 Whitney Ave, Gretna, LA 70056-5025 | 2015-05-04 |
| 1578985677 | Aids Healthcare Foundation | Clinic/Center | 2600 Belle Chasse Hwy, Suite 204, Gretna, LA 70056 | 2014-01-09 |
| 1962702175 | Daniel A Long Md A Professional Medical Corporation | Clinic/Center | 120 Meadowcrest St, #330, Gretna, LA 70056-5255 | 2010-10-22 |
| 1992980189 | Chiropractic Clinic of Gretna | Clinic/Center | 548 Lapalco Blvd, Gretna, LA 70056-7305 | 2008-01-07 |
| 1386626356 | Pediatrics Kid-med, LLC | Clinic/Center | 120 Meadowcrest St, Suite 245, Gretna, LA 70056-5255 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432970 | Genetics Collection LLC | Clinic/Center | 214 W 70th St Ste 205, Shreveport, LA 71106-3756 | 2020-09-17 |
| 1518570688 | Delta Med Clinic LLC | Clinic/Center | 1305 Fourth St, Jonesville, LA 71343-2123 | 2020-08-28 |
| 1710599089 | Elite Healthcare Providers | Clinic/Center | 39067 Prairie North Dr, Gonzales, LA 70737-9506 | 2020-08-18 |
| 1548879034 | Mercy Medical Health Center | Clinic/Center | 4629 Quitman Hwy, Hodge, LA 71247 | 2020-07-30 |
| 1699383026 | New Orleans Women's Wellness LLC | Clinic/Center | 535 S Galvez St, New Orleans, LA 70119-7011 | 2020-07-22 |
| 1124645130 | Bayou Telemedicine LLC | Clinic/Center | 1703 Arizona Ave, Monroe, LA 71202-3632 | 2020-06-26 |
| 1699392589 | Minden Physician Practices LLC | Clinic/Center | 170 Healthcare Plaza, Haughton, LA 71037 | 2020-06-26 |
| 1245853803 | Alexandria Primary Care Clinic | Clinic/Center | 224 Pecan Park Ave Rm B1, Alexandria, LA 71303-3308 | 2020-05-18 |
| 1326676479 | Royal Health & Wellness Clinic LLC | Clinic/Center | 108 Riverbirch Dr, Lafayette, LA 70508-1819 | 2020-04-01 |
| 1215560974 | Calcasieu Cameron Hospital Service District | Clinic/Center | 703 Cypress St Ste A, Sulphur, LA 70663-5053 | 2020-02-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on TYRA COLE.
| 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.