DR. KATHERYN BEAVERS ARTERBERRY (NPI# 1255478640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255478640 |
| Entity Type | Individual |
| Full Name | DR. KATHERYN BEAVERS ARTERBERRY |
| Credential | FNP-BC |
| Practice Address |
7505 Pines Road Suite 1250 Shreveport LA 71129 |
| Practice Telephone | 3186863770 |
| Practice Fax Number | 3186863838 |
| Mailing Telephone | 3186863770 |
| Mailing Fax Number | 3186863838 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2011-09-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN055366AP02685 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN055366 AP02685 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1680958 | 05 |
| Street Address |
7505 PINES ROAD SUITE 1250 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003975079 | Shreveport Family Medicine Inc | Family Medicine | 7505 Pines Road, Suite 1250, Shreveport, LA 71129-3927 | 2006-12-06 |
| 1730494170 | Lacam Enterprise LLC | Durable Medical Equipment & Medical Supplies | 7505 Pines Road, Suite 1200-i, Shreveport, LA 71129 | 2010-08-10 |
| 1235343872 | Frost Equipment & Supplies Inc | Durable Medical Equipment & Medical Supplies | 7505 Pines Road, Suite 1255, Shreveport, LA 71129-3923 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241739 | D&d Transportation Agency LLC | Non-emergency Medical Transport (VAN) | 6171 Bert Kouns Industrial Loop, Apt D100, Shreveport, LA 71129 | 2020-06-30 |
| 1013407006 | Kimron Smith | Counselor | 7550 Pines Road Suite 1115, Shreveport, LA 71129 | 2018-05-15 |
| 1801383518 | Latarsha Parker | Counselor | 6009 Financial Plaza, Suite 105, Shreveport, LA 71129 | 2018-04-18 |
| 1003317652 | Demarkus Webb | Case Manager/Care Coordinator | 6117 Newton Abbott Dr, Shreveport, LA 71129 | 2018-02-27 |
| 1073024014 | Charnita Thomas | Case Manager/Care Coordinator | 5610 Buncombe Rd Apt 504, Shreveport, LA 71129 | 2017-10-17 |
| 1578073334 | Keyon Williams | Counselor | 7000 Red Fox Trail, Shreveport, Shreveport, LA 71129 | 2017-10-06 |
| 1689193765 | Beranna R Smith | Physical Therapy Assistant | 8186 Dance Dr., Shreveport, LA 71129 | 2017-09-11 |
| 1699204982 | Bac Foundation | Community/Behavioral Health | 8500 Pines Rd 19, Shrevepot, LA 71129 | 2017-06-08 |
| 1407381973 | Dominique Stevenson | Specialist | 6800 Rasberry Lane Apt.1901, Shreveport, LA 71129 | 2017-04-21 |
| 1538692496 | Dale Smith | Counselor | 5925 Dexter Pl, Shreveport, LA 71129 | 2017-04-07 |
| Find all providers in zip 71129 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508282 | Whitney Jackson | Nurse Practitioner | 1549 E 70th St Ste 300, Shreveport, LA 71105-5056 | 2019-10-03 |
| 1407322209 | Tiffany Michelle Williams | Nurse Practitioner | 7551 Youree Dr, Shreveport, LA 71105-5533 | 2018-10-18 |
| 1801334453 | Katoya Johnson | Nurse Practitioner | 1005 Quail Creek Rd Apt A, Shreveport, LA 71105-2310 | 2017-02-03 |
| 1023565298 | Primary Care At Home of Louisiana, LLC | Nurse Practitioner | 6425 Youree Dr Ste 290, One Bellemead Center, Shreveport, LA 71105-4634 | 2016-09-06 |
| 1457546095 | Julia B Henry | Nurse Practitioner | 2751 Albert L Bicknell Dr Ste 2d, Shreveport, LA 71103-3939 | 2007-09-06 |
| 1588867485 | Donna Rogers Hewitt | Nurse Practitioner | 1800 E 70th St, Shreveport, LA 71105-5338 | 2007-06-07 |
| 1134215361 | Angela Birdsong Fellows | Nurse Practitioner | 1666 E Bert Koun Loop, Shreveport, LA 71105-5714 | 2006-10-05 |
| 1942220959 | Tammy Rene Bennett | Nurse Practitioner | 1525 Fairfield Ave Ste 569, Office of Public Health, Shreveport, LA 71101-4331 | 2006-07-20 |
| 1134149859 | John Charles Charity | Nurse Practitioner | 503 Broadmoor Blvd, Shreveport, LA 71105-2023 | 2006-07-19 |
| 1144829540 | Jenna Nicole Blundell | Nurse Practitioner | 1811 E Bert Kouns Industrial Loop Ste 210, Shreveport, LA 71105-5740 | 2020-10-19 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71129 |
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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.