MRS. KELLY N BREWSTER (NPI# 1144492794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144492794 |
Entity Type | Individual |
Full Name | MRS. KELLY N BREWSTER |
Credential | WHNP |
Practice Address |
104 Innwood Drive Covington LA 70433-3358 |
Mailing Address |
104 Innwood Dr Covington LA 70433-9123 |
Practice Telephone | 9852497022 |
Practice Fax Number | 9852497048 |
Mailing Telephone | 9852497022 |
Mailing Fax Number | 9852497048 |
Enumeration Date | 2008-03-24 |
Last Update Date | 2012-07-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
AP04907 | LA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1504203 | 05 |
Street Address |
104 INNWOOD DRIVE |
City | COVINGTON |
State | LA |
Zip Code | 70433-3358 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851363550 | Katherine L Williams | Specialist | 104 Innwood Drive, Covington, LA 70433-3358 | 2006-02-06 |
1205220076 | Southern Institute for Women's Sexual Health | Clinic/Center | 104 Innwood Drive, Covington, LA 70433 | 2015-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
Find all providers in zip 70433 |
Taxonomy Code | 363LX0001X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Obstetrics & Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730590712 | Stacy Davis | Nurse Practitioner | 71380 Highway 21 Ste 101, Covington, LA 70433-7245 | 2014-05-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073165940 | Autumn Lynne Laffitte | Nurse Practitioner | 1455 E Bert Kouns Industrial Loop # 308, Shreveport, LA 71105-6000 | 2019-07-11 |
1487018032 | Natalie Marie Stubbs | Nurse Practitioner | 4429 Clara St Ste 500, New Orleans, LA 70115-6950 | 2016-04-11 |
1548678188 | Joanna Poole | Nurse Practitioner | 2120 Bert Kouns Industrial Loop Ste A, Shreveport, LA 71118-3351 | 2014-07-28 |
1245673565 | Tresa C Wallace | Nurse Practitioner | 110 Bellemeade Blvd., Suite A, Gretna, LA 70056-2954 | 2013-04-17 |
1942433438 | Rebecca Reason Breaux | Nurse Practitioner | 180 Infirmary Rd, Baton Rouge, LA 70803-0001 | 2009-08-31 |
1275672909 | Patsy H Mcclanahan | Nurse Practitioner | 3326 Front St Ste B, Winnsboro, LA 71295-6487 | 2007-02-06 |
1164515169 | Jennifer Allen Long | Nurse Practitioner | 2400 Hospital Dr Ste 400, Bossier City, LA 71111-2401 | 2006-10-02 |
1841615127 | Leslie Stovall | Nurse Practitioner | 2449 Hospital Dr, Suite 260, Bossier City, LA 71111-2399 | 2014-02-24 |
1417262361 | Casey Dufrene Pech | Nurse Practitioner | 406 N Acadia Rd, Thibodaux, LA 70301-4856 | 2010-08-16 |
1265752778 | Brooke Bailey Stokes | Nurse Practitioner | 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 | 2010-06-07 |
Find all providers with the same taxonomy |
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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.