STACEY B MOLINERE (NPI# 1992743892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992743892 |
| Entity Type | Individual |
| Full Name | STACEY B MOLINERE |
| Credential | F.N.P. |
| Practice Address |
189 Mozart Dr Houma LA 70363-7990 |
| Mailing Address |
1115 Weber Street Franklin LA 70538-4124 |
| Practice Telephone | 3378282550 |
| Practice Fax Number | 3373552335 |
| Mailing Telephone | 3378282550 |
| Mailing Fax Number | 3373552335 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2019-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP03857 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP03857 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1149284 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 144 W 134th Pl, Cut Off, LA 703454128 | 9856326233 | 9856327526 |
| Street Address |
189 MOZART DR |
| City | HOUMA |
| State | LA |
| Zip Code | 70363-7990 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700254604 | Shannon Huertas | Counselor | 189 Mozart Dr, Houma, LA 70363-7990 | 2015-09-09 |
| 1164741799 | Melissa W Clay | Nurse Practitioner | 189 Mozart Dr, Houma, LA 70363-7990 | 2010-05-21 |
| 1962434910 | Rhonesia Simmons | Internal Medicine | 189 Mozart Dr, Houma, LA 70363-7990 | 2006-07-07 |
| 1659319135 | Teche Action Board, Inc. | Clinic/Center | 189 Mozart Dr, Houma, LA 70363-7990 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286991 | Nadish Ravindran | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd Internal Medicine Program, Chabert Medical Center, Houma, LA 70363 | 2020-05-08 |
| 1912527185 | Gurjit Singh Brar | Student in an Organized Health Care Education/Training Program | Chabert Medical Center 1978 Industrial Blvd, Internal Medicine Residency Program, Houma, LA 70363 | 2020-04-17 |
| 1912568718 | Blake P Pitre | Pharmacist | 13087 West Main St, Larose, LA 70363 | 2019-06-24 |
| 1528623212 | Navkiran Singh Jagdev | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd Chabert Medical Center, Internal Medicine Residency Program, Houma, LA 70363 | 2019-05-08 |
| 1376107367 | Sheahahn Vikash Soundranayagam | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program Chabert Medical, Center, 1978 Industrial Blvd, Hourna, LA 70363 | 2019-04-25 |
| 1962991034 | Naveen Silva | Student in an Organized Health Care Education/Training Program | 1976 Industrial Blvd, Internal Medicine Residency Program Chabert Medical Cen, Houma, LA 70363 | 2018-05-04 |
| 1841647526 | Ammad Asad Syed | Student in an Organized Health Care Education/Training Program | 1978 Industrial Blvd., Internal Medicine Residency Program, Chabert Medical Ce, Houma, LA 70363 | 2016-05-23 |
| 1538514450 | Khizran Rizvi | Internal Medicine | 1978 Industrial Blvd. Chabert Medical Center, Internal Medicine Residency Program, Houma, LA 70363 | 2016-04-28 |
| 1649656836 | David Price | Pharmacist | 9303 East Parke Avenue, Houma, LA 70363 | 2015-08-11 |
| 1346638053 | Donna Marie Neville | Case Manager/Care Coordinator | 137 New Orleans Blvd, Houma, LA 70363 | 2015-01-05 |
| Find all providers in zip 70363 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790162626 | Amanda Eymard | Nurse Practitioner | 5599 La-311, Houma, LA 70360 | 2015-04-29 |
| 1376861278 | Helena L Richard | Nurse Practitioner | 307 Jefferson Dr, Houma, LA 70360-6115 | 2010-05-17 |
| 1144877978 | Harry Brown Jr. | Nurse Practitioner | 235 Civic Center Blvd, Houma, LA 70360-5937 | 2019-08-26 |
| 1710400833 | Brealon Michael Lirette | Nurse Practitioner | 5599 Highway 311, Houma, LA 70360-2866 | 2017-07-20 |
| 1700323540 | Richard Bergeron II | Nurse Practitioner | 1014 W Tunnel Blvd, Houma, LA 70360-4050 | 2017-01-31 |
| 1992154900 | Robbin Mulina | Nurse Practitioner | 521 Legion Ave, Houma, LA 70364-3339 | 2016-06-09 |
| 1518252337 | Beneficence Psychiatric and Mental Health Services, LLC | Nurse Practitioner | 307 Jefferson Dr, Houma, LA 70360-6115 | 2011-06-09 |
| 1134160815 | Timothy J Pellegrin | Nurse Practitioner | 1014 W Tunnel Blvd, Houma, LA 70360-4050 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113124 | Rebirth Mental Health Services LLC | Nurse Practitioner | 2116 Gause Blvd W Ste E, Slidell, LA 70460-4120 | 2020-08-03 |
| 1427668748 | Julie Susann Dyrek | Nurse Practitioner | 1 Lakeshore Dr Ste 1830, Lake Charles, LA 70629-0114 | 2020-08-01 |
| 1376169979 | Nancy Ariwodo | Nurse Practitioner | 225 Rue La France, Lafayette, LA 70508-1565 | 2020-06-19 |
| 1578183208 | Donald Glyn Gardner II | Nurse Practitioner | 324 Blue Fox Cir, Haughton, LA 71037-7707 | 2020-04-22 |
| 1629604129 | Raelyn Marie Plauche | Nurse Practitioner | 1951 Florida Ave Sw Ste D&e, Denham Springs, LA 70726-4947 | 2020-03-16 |
| 1962035964 | Tyler Trenton Wansley | Nurse Practitioner | 23515 Us-190, Mandeville, LA 70448 | 2020-02-18 |
| 1114558715 | Danielle J Threatts Aprn LLC | Nurse Practitioner | 208 W Gloria Switch Rd Ste 219, Lafayette, LA 70507-3409 | 2020-02-01 |
| 1992359848 | Harold G Frizzell Psychiatric Services LLC | Nurse Practitioner | 300 Thompson Loop, Lafayette, LA 70506-2820 | 2019-07-29 |
| 1598227779 | Candyce Brown | Nurse Practitioner | 333 Dr Michael Debakey Dr Ste 220, Lake Charles, LA 70601-5888 | 2019-04-04 |
| 1659835346 | Cassandra Thomas-jingles Psychiatric Nurse Practitioner, LLC. | Nurse Practitioner | 156 Mcgehee Dr, Baton Rouge, LA 70815-5012 | 2019-01-26 |
| 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.