Seasons Healthcare of Monroe, L.L.C.

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

RN075367 Issued in LA

Legal business name

SEASONS HEALTHCARE OF MONROE, L.L.C.

Practice address

1888 Hudson Circle
Suite 10
Monroe, LA 71201

Phone

(318) 387-2828

Fax

(318) 387-2827

NPI assigned

Sep 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nathan Wayne Goodyear, MD

Title

Medical Director

Phone

(318) 387-2828

Specialties & licenses 3

Addresses

Other identifiers 9

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1265629166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1888 HUDSON CIRCLE",
            "address_2": "SUITE 10",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-387-2828",
            "fax_number": "318-387-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1888 HUDSON CIRCLE",
            "address_2": "SUITE 10",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-387-2828",
            "fax_number": "318-387-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS HEALTHCARE OF MONROE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "GOODYEAR",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "318-387-2828",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "LA",
            "license": "RN075367",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "LA",
            "license": "RNO82557",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "MD.201086",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295731818",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "RN075367",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "RNO82557",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "AP04115",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESC ID",
            "identifier": "020455",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538166970",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720054075",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AP",
            "identifier": "APO4477",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD. 201086",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Scott, F.N.P.
• Kerry J. Scott, LPC, LAC
• Leslie Lawrence Scott
• Shawnderrick Scott
• Melissa Sears, MS, LPC
• Seasons Womens Care of Monroe
• Secure Patient Delivery of Monroe, LLC
• Robert Lee Seegers, M.D.
• Gustavo Segura Hernandez, PHD, MP, ABPP
• Susan Marie Seiler-Smith, MD

• General Practice Registered Nurse in Monroe, LA
• Providers in Monroe, LA by specialty
• General Practice Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.