KIMBERLY J BONTS (NPI# 1003116682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003116682 |
Entity Type | Individual |
Full Name | KIMBERLY J BONTS |
Credential | MSN |
Practice Address |
2520 Bert Kouns Loop Suite 215 Shreveport LA 71118-3130 |
Mailing Address |
1202 Louisiana Ave Shreveport LA 71101-3910 |
Practice Telephone | 3182125970 |
Practice Fax Number | 3182125975 |
Mailing Telephone | 3182128546 |
Enumeration Date | 2010-10-28 |
Last Update Date | 2010-10-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
AP06258 | LA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2520 BERT KOUNS LOOP SUITE 215 |
City | SHREVEPORT |
State | LA |
Zip Code | 71118-3130 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003809211 | Lea Bonifacio Penales | Pediatrics | 2520 Bert Kouns Loop, Suite 215, Shreveport, LA 71118-3130 | 2005-08-24 |
1437441698 | Willis-knighton Medical Center, Inc. | Orthopaedic Surgery | 2520 Bert Kouns Loop, Suite 105, Shreveport, LA 71118-3130 | 2011-05-06 |
1497047963 | Wk South Orthopedic Clinic | Orthopaedic Surgery | 2520 Bert Kouns Loop, Suite 105, Shreveport, LA 71118-3130 | 2011-05-03 |
1407896285 | Kirk W Cofran Md and Willis-knighton Medical Center | Family Medicine | 2520 Bert Kouns Loop, Suite 102, Shreveport, LA 71118-3130 | 2006-06-08 |
1194777441 | Kirk W. Cofran | Family Medicine | 2520 Bert Kouns Loop, Suite 102, Shreveport, LA 71118-3130 | 2006-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720620784 | Wk Center for Pediatric Gastroenterology | Pediatrics | Wk Center for Pediatric Gastroenterology, 2530 Bert Kouns Industrial Loop, Ste 113, Shreveport, LA 71118 | 2019-10-11 |
1306302443 | Diamond Marie Willis | Case Manager/Care Coordinator | 9403 Mansfield Rd., Shreveport, LA 71118 | 2019-02-13 |
1194224469 | Latosa Hall | Case Manager/Care Coordinator | 9007 Letha Loop, Shreveport, LA 71118 | 2018-02-01 |
1902321623 | Bersheika Lashay Player | Counselor | 9403 Mansfield Road, Shreveport, LA 71118 | 2017-08-03 |
1518487149 | Clarke Jackson | Case Manager/Care Coordinator | 9730 Baird Rd Apt 2310, Shreveport, LA 71118 | 2017-06-24 |
1770010449 | Darrie'l Smith | Counselor | 2715 Mackey, Shreveport, LA 71118 | 2017-05-12 |
1760917041 | Delilah Wells | Case Manager/Care Coordinator | 9005 Walker Rd Apt 722, Shreveport, LA 71118 | 2017-04-25 |
1790229664 | We Care Transporttion Services LLC | Secured Medical Transport (VAN) | 2529 Summer Grove Dr, Shreveport, LA 71118 | 2016-12-13 |
1063955128 | Commanisha Smith | Social Worker | 2715 Mackey Place, Shreveport, LA 71118 | 2016-11-22 |
1023560802 | Yasmin Newman | Counselor | 9812 West Trails End, Shreveport, LA 71118 | 2016-10-27 |
Find all providers in zip 71118 |
Taxonomy Code | 363LN0005X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal, Critical Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417367616 | Sarah Hatfield | Nurse Practitioner | 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 | 2014-04-28 |
1932409232 | Meagan Marie Disotell | Nurse Practitioner | 1501 Kings Hwy, Department of Pediatrics (nicu), Shreveport, LA 71103-4228 | 2010-11-02 |
1891821153 | Kim Allen | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2007-02-23 |
1538216502 | Hubert Debo | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2007-01-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396272084 | Cielena Houck | Nurse Practitioner | 2700napoleon Avenue, New Orleans, LA 70115-6914 | 2017-05-12 |
1548702863 | Laura Lynne Duhon | Nurse Practitioner | 6902 E Savannah Ln, Lake Charles, LA 70605-8151 | 2016-11-17 |
1275805020 | Paul Wayne Byrd | Nurse Practitioner | 303 Cranbrook Ct, Bossier City, LA 71111-2182 | 2012-02-08 |
1073639308 | Cynthia Kay Lagrange | Nurse Practitioner | 6809 W Calcasieu Dr, Lake Charles, LA 70605-0452 | 2007-03-21 |
1164579116 | Holly Joiner | Nurse Practitioner | 104 Winterpark Dr, West Monroe, LA 71292-2150 | 2007-01-04 |
1164433694 | Celeste Diane Perry | Nurse Practitioner | 107 Montrose Ave., Suite D, Lafayette, LA 70503 | 2006-08-10 |
1053918425 | Catelyn Jennifer Myers | Nurse Practitioner | 500 Rue De La Vie St Ste 405, Baton Rouge, LA 70817-5128 | 2020-10-08 |
1063046662 | Courtney Lynn Thomas | Nurse Practitioner | 1900 W Gauthier Rd, Lake Charles, LA 70605-7170 | 2020-02-24 |
1194358341 | Margaret Coleman | Nurse Practitioner | 4700 S I 10 Service Rd W, Metairie, LA 70001-1269 | 2020-02-17 |
1457981292 | Elyse Leigh Poole | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2020-01-21 |
Find all providers with the same taxonomy |
City | SHREVEPORT |
Zip Code | 71118 |
Please comment or provide details below to improve the information on KIMBERLY J BONTS.
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.