1427744994 NPI number — MS. TERESA NAKAI COMBS CNA-CAREGIVER

Table of content: MS. TERESA NAKAI COMBS CNA-CAREGIVER (NPI 1427744994)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427744994 NPI number — MS. TERESA NAKAI COMBS CNA-CAREGIVER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COMBS
Provider First Name:
TERESA
Provider Middle Name:
NAKAI
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
CNA-CAREGIVER
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
COMBS
Provider Other First Name:
TERESA
Provider Other Middle Name:
NAKAI
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
BUSINESS MANAGEMENT
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1427744994
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/17/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
201 RUE BEAUREGARD STE 202
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAFAYETTE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70508-3251
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
318-215-9254
Provider Business Mailing Address Fax Number:
225-570-6952

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1702 E TEXAS ST APT 516
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOSSIER CITY
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
71111-5051
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
318-751-4816
Provider Business Practice Location Address Fax Number:
225-570-6952
Provider Enumeration Date:
04/17/2023

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: 374U00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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