Shanna Rae Johnson (NPI# 1114570165, PAC ID# 0345579033) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1114570165 |
| PAC ID by PECOS | 0345579033 |
| Professional Enrollment ID | I20190905001037 |
| Full Name | Shanna Rae Johnson |
| Organization Legal Name | ACADIANA VASCULAR CENTER LLC |
| Address |
129 Rue Louis Xiv Lafayette LA 70508-5738 |
| Phone Number | 3372899700 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1951208263 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190263 | HEART HOSPITAL OF LAFAYETTE |
| 190102 | OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC |
| 190002 | LAFAYETTE GENERAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 129 Rue Louis Xiv, Lafayette, LA 70508-5738 | 3372899700 | ACADIANA VASCULAR CENTER LLC |
| Organization Legal Name | ACADIANA VASCULAR CENTER LLC |
| Physicians | 1 |
| Street Address |
129 RUE LOUIS XIV |
| City | LAFAYETTE |
| State | LA |
| Zip | 70508-5738 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason W Prevost | Chiropractic | 2111 W Pinhook Rd A, Integrated Health, Lafayette, LA 70508-1504 | |
| Kimberly V Hull | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Roseanna Laporte | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Mia H Rabalais | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Simone L Babineaux | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Jayson A Thornhill | Nurse Practitioner | Lhc Physician Services, LLC | 901 Hugh Wallis Rd S, Lafayette, LA 70508-2511 |
| Casey A Robinson | Clinical Social Worker | 200 La Rue France, Suite 101, Lafayette, LA 70508-3104 | |
| Rachel Lacy Broussard | Clinical Social Worker | 200 La Rue France, Lafayette, LA 70508-3104 | |
| Joshua G Bailey | Chiropractic | Pinhook Chiropractic Clinic LLC | 100 La Rue France, Lafayette, LA 70508-3112 |
| Brad A Grizzaffi | Chiropractic | Pinhook Chiropractic Clinic LLC | 100 La Rue France, Lafayette, LA 70508-3112 |
| Find all physicians in zip 70508 | |||
| City | LAFAYETTE |
| Zip Code | 70508 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAFAYETTE + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.