1427494020 NPI number — PROF. HATTIE H. RHEAMS REGISTRED NURSE

Table of content: PROF. HATTIE H. RHEAMS REGISTRED NURSE (NPI 1427494020)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427494020 NPI number — PROF. HATTIE H. RHEAMS REGISTRED NURSE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RHEAMS
Provider First Name:
HATTIE
Provider Middle Name:
H.
Provider Name Prefix Text:
PROF.
Provider Name Suffix Text:
Provider Credential Text:
REGISTRED NURSE
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RHEAMS
Provider Other First Name:
HATTIE
Provider Other Middle Name:
H.
Provider Other Name Prefix Text:
PROF.
Provider Other Name Suffix Text:
Provider Other Credential Text:
REGISTERED NURSE
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1427494020
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/22/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9412 W TAMPA DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BATON ROUGE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70815-8950
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
225-975-4489
Provider Business Mailing Address Fax Number:
225-926-6655

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9412 W TAMPA DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BATON ROUGE
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70815-8950
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
225-926-2721
Provider Business Practice Location Address Fax Number:
225-926-6655
Provider Enumeration Date:
05/22/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  RN053309 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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