MINDY DECKER KASS


Address: 319 S Tyler St, Covington, LA 70433-3037
Phone: 9856295470

MINDY DECKER KASS (NPI# 1134665250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134665250
Entity Type Individual
Full Name MINDY DECKER KASS
Credential CPNP-PC
Practice Address 319 S Tyler St
Covington
LA 70433-3037
Practice Telephone 9856295470
Mailing Telephone 9856295470
Enumeration Date 2017-01-12
Last Update Date 2020-01-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
AP09128 LA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 319 S TYLER ST
City COVINGTON
State LA
Zip Code 70433-3037

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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053715318 Deborah Edwards Davis Nurse Practitioner 2501 Valley Ridge Road, Covington, VA 24426-6339 2014-10-15
1811916067 Brandy M Andrew Nurse Practitioner 1850 Madison Street, Covington, KY 41011 2006-07-19
1972155174 Haley Reynolds Nurse Practitioner 4152 Baker St Ne, Covington, GA 30014-1404 2019-07-09
1629537634 Amanda Vallen West Nurse Practitioner 5211 Highway 278 Ne, Covington, GA 30014-2671 2019-03-19
1124494588 Hannah Addis Nurse Practitioner 4181 Hospital Dr Ne, Suite 202, Covington, GA 30014-2541 2015-08-19
1164826350 Erin Michelle Wattles Nurse Practitioner 17700 Se 272nd St, Covington, WA 98042-4951 2014-10-16
1710395660 Jennifer Dorand Guillory Nurse Practitioner 4405 Highway 190 East Service Rd, Covington, LA 70433-4957 2014-07-23
1770993560 Daphnee Leigh Stewart Nurse Practitioner 4152 Baker St Ne, Covington, GA 30014-1404 2014-05-01
1467727263 Julie Buff Walter Nurse Practitioner 4181 Hospital Dr Ne, Suite 202, Covington, GA 30014-2541 2012-03-13
1386958650 Melissa Ann Rice Nurse Practitioner 1401 Madison Ave, Covington, KY 41011-3313 2010-07-29
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Competitor

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City COVINGTON
Zip Code 70433

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Dataset Information

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.

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