KATHALINA VERSHELLE LACOSTE (NPI# 1255459335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255459335 |
| Entity Type | Individual |
| Full Name | KATHALINA VERSHELLE LACOSTE |
| Credential | NP |
| Practice Address |
5049 Highland Hills Pkwy Stone Mountain GA 30088-3740 |
| Practice Telephone | 6787775995 |
| Mailing Telephone | 6787775995 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2010-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
114591 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5049 HIGHLAND HILLS PKWY |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30088-3740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565902 | Edward Edeh | Pharmacist | 1232 South Hairstoh Road, Stone Mountain, GA 30088 | 2020-10-16 |
| 1588124879 | Birds of Paradise Physical Therapy Services,llc | Physical Therapy Assistant | 754 Post Road Ln, Address Line 2, Stone Mountain, GA 30088 | 2019-03-22 |
| 1710467923 | Stephanie Patrice Mccray | In Home Supportive Care | 1058 Millard Road, Stone Mountain, GA 30088 | 2018-08-16 |
| 1912365321 | Audrey Perry | Respiratory Therapist, Certified | 1588 Linkview Close, Stone Mountain, GA 30088 | 2016-02-01 |
| 1689041428 | Reaching Above Poverty | Counselor | 5401 Megan Rd, Stone Mountain, GA 30088 | 2015-08-27 |
| 1043692254 | Bethany Johnson | Home Health Aide | 981 Deer Chase Court, Stone Mountain, GA 30088 | 2015-06-24 |
| 1073859666 | Whitney's Place Inc. | Custodial Care Facility | 5451 Rockbeidge Road, Stone Mountain, GA 30088 | 2012-12-31 |
| 1831468818 | The Art of Living Cla LLC. | Community/Behavioral Health | 1668 South Hairston Rd, Stone Mountain, GA 30088 | 2011-12-21 |
| 1659670792 | Atarah Ranit Kimmons | Occupational Therapist | 2045 County Down Lane, Stone Moutain, GA 30088 | 2011-03-15 |
| 1104060219 | William Tyrell Reid Jr. | Dentist | 1183 South Hairstron Rd., Suite D, Stone Mountain, GA 30088 | 2009-04-21 |
| Find all providers in zip 30088 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528689155 | Dahnide Marie Taylor | Nurse Practitioner | 667 Lakewater Estates Ln, Stone Mountain, GA 30087-4999 | 2020-05-05 |
| 1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
| 1629580196 | Lilian Mugwede | Nurse Practitioner | 1023 Privy Ln, Stone Mountain, GA 30083-4769 | 2017-10-24 |
| 1386181022 | Megan Wallace | Nurse Practitioner | 2240 W Park Place Blvd Ste A, Stone Mountain, GA 30087-3543 | 2017-01-19 |
| 1558765974 | Kimberly Fitzgerald | Nurse Practitioner | 382 Summer Glen Ct, Stone Mountain, GA 30087-5500 | 2014-10-14 |
| 1265411094 | Dawn Ledford Parker | Nurse Practitioner | 7207 Rockbridge Rd, Stone Mountain, GA 30087-6320 | 2006-01-11 |
| 1245230010 | Catherine M. Kilgore | Nurse Practitioner | 1505 Lilburn Stone Mtn Rd., Suite 100, Stone Mountain, GA 30087 | 2005-07-22 |
| 1508406182 | Patrice M Walton | Nurse Practitioner | 1227 Rockbridge Rd, Stone Mountain, GA 30087-3064 | 2020-01-10 |
| 1730653619 | Chidi D Ikeokwu | Nurse Practitioner | 5329 Memorial Dr, Stone Mountain, GA 30083-3212 | 2019-01-14 |
| 1205316148 | Peter Claver Inyang | Nurse Practitioner | 5300 Memorial Drive, Suite 112, Stone Mountain, GA 30083 | 2018-08-20 |
| Find all providers in STONE MOUNTAIN | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30088 |
Please comment or provide details below to improve the information on KATHALINA VERSHELLE LACOSTE.
| 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.