DR. KATINA RENE BEVERLY (NPI# 1154527018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154527018 |
| Entity Type | Individual |
| Full Name | DR. KATINA RENE BEVERLY |
| Credential | D.D.S. |
| Practice Address |
1203 N 5th St Monroe LA 71201-5317 |
| Practice Telephone | 3188059000 |
| Practice Fax Number | 3188050345 |
| Mailing Telephone | 3188059000 |
| Mailing Fax Number | 3188050345 |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2008-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5856 | LA | Dental Providers |
| Street Address |
1203 N 5TH ST |
| City | MONROE |
| State | LA |
| Zip Code | 71201-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831035 | Tammy Price | Social Worker | 414 Pine Street, Monroe, LA 71201 | 2020-04-30 |
| 1932749116 | Emmanuel Brown Jr. | Case Manager/Care Coordinator | 2808 Evangeline Street, Monroe, LA 71201 | 2020-01-15 |
| 1063050961 | James J Gregory | Social Worker | 4800 S Grand, Monroe, LA 71201 | 2019-12-11 |
| 1285271221 | William Fairley | Non-emergency Medical Transport (VAN) | 1002 N. 7th St., Apt. 4, Monroe, LA 71201 | 2019-12-10 |
| 1619431715 | Guidance Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 1204 Stubbs Ave. Suite B, Monroe, LA 71201 | 2019-01-23 |
| 1184193286 | Marnesha Davis | Assistant Behavior Analyst | 500 N. 21st Street, Monroe, LA 71201 | 2018-11-19 |
| 1912476482 | Gbc Hope | Residential Treatment Facility, Emotionally Disturbed Children | 311 South 1st Street, Monroe, LA 71201 | 2018-11-14 |
| 1124502505 | Orthopaedic Clinic of Monroe | Non-Pharmacy Dispensing Site | 1501 Louisville Ave., Monroe, LA 71201 | 2018-09-20 |
| 1699266643 | Melissa Anne De La O | Audiologist | 2516 Broadmoor Blvd # 1b, Monroe, LA 71201 | 2018-05-25 |
| 1588153738 | Essential Family Medicine, LLC | Nurse Practitioner | 2014 Tower Dr. Ste A, Monroe, LA 71201 | 2018-05-03 |
| Find all providers in zip 71201 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679898902 | Pspd - Monroe, Pllc | Dentist | 14090 Fryelands Blvd Se Ste 348, Monroe, WA 98272-2760 | 2010-03-30 |
| 1366682361 | Dr. P.l. Jeffries and Associates, Pa | Dentist | 1307 Dove St, Monroe, NC 28112-5068 | 2009-03-03 |
| 1659524478 | Dayna Olstein | Dentist | 1200 State Route 208 Ste 4, Monroe, NY 10950-4649 | 2008-10-23 |
| 1578052635 | Marcela Mujica Dmd II Pllc | Dentist | 3007 Wesley Chapel Stouts Rd Ste A, Monroe, NC 28110-7941 | 2018-05-04 |
| 1154562528 | Melissa Sharee Jackson | Dentist | 1307 Dove St, Monroe, NC 28112-5068 | 2009-03-16 |
| 1588675755 | David M Knaus | Dentist | 324 Elm St, Ste 101b, Monroe, CT 06468 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649898982 | Jeff Ellard Dds Apdc | Dentist | 541 Shadows Ln Ste B, Baton Rouge, LA 70806-6559 | 2020-07-13 |
| 1619539483 | Nasrin Danaeifar | Dentist | 2164 Robin St Apt A, New Orleans, LA 70122-4048 | 2019-07-02 |
| 1306308051 | Erin Doody | Dentist | 4 Brittany Pl, Arabi, LA 70032-1356 | 2019-04-02 |
| 1689149551 | Uptown Pediatric Dentistry, LLC | Dentist | 3715 Prytania Street, Suite 380, New Orleans, LA 70115 | 2018-10-08 |
| 1780181180 | Amanda Hall Begue | Dentist | 159 Longview Dr Ste A, Destrehan, LA 70047-5076 | 2018-04-11 |
| 1134625114 | Tyler Roberto Mesa | Dentist | 189 Greenbrier Blvd Ste A, Covington, LA 70433-7297 | 2018-03-30 |
| 1912407842 | Maturin Pediatric Dentistry LLC | Dentist | 14639 Airline Hwy Ste 111, Gonzales, LA 70737-6632 | 2018-02-16 |
| 1972056638 | Ross H. Dies, J. Cody Cowen, Dds, Benjamin A. Beach, Dds and Bryan Ste | Dentist | 3412 Barksdale Blvd, 100, Bossier City, LA 71112-3800 | 2016-07-29 |
| 1386023190 | Christopher Savoy | Dentist | 306 N Lewis St Ste 2, New Iberia, LA 70563-2924 | 2015-05-26 |
| 1235538075 | Austin Joseph Mcmurphy | Dentist | 6315 Hurst St, New Orleans, LA 70118-6162 | 2014-08-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. KATINA RENE BEVERLY.
| 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.