MS. KELLY A YERGER (NPI# 1285661181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285661181 |
| Entity Type | Individual |
| Full Name | MS. KELLY A YERGER |
| Credential | NP |
| Practice Address |
910 Pierremont Rd Suite 234 Shreveport LA 71106-2069 |
| Mailing Address |
Po Box 1736 Shreveport LA 71166-1736 |
| Practice Telephone | 3185623988 |
| Practice Fax Number | 3185623988 |
| Enumeration Date | 2006-06-27 |
| Last Update Date | 2015-06-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
68700-3500 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00231748 | 01 | |
| LA | 1562360 | 05 |
| Street Address |
910 PIERREMONT RD SUITE 234 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-2069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134190572 | Virginia W. Christophe | Counselor | 910 Pierremont Rd, Suite 410, Shreveport, LA 71106-2069 | 2006-02-01 |
| 1053636753 | Respira Medical Lp | Durable Medical Equipment & Medical Supplies | 910 Pierremont Rd, Suite 410, Shreveport, LA 71106-2069 | 2010-04-06 |
| 1942381249 | Kathryn Keller Mayeaux | Counselor | 910 Pierremont Rd, Suite 410, Shreveport, LA 71106-2056 | 2006-10-17 |
| 1154355618 | Jacqueline A. Danzell | Social Worker | 910 Pierremont Rd, Suite 410, Shreveport, LA 71106-2056 | 2006-07-10 |
| 1285699975 | Audra Elizabeth Duhon | Counselor | 910 Pierremont Rd, Suite 251, Shreveport, LA 71106-2069 | 2006-04-18 |
| 1609844125 | Gene Loren Bee | Counselor | 910 Pierremont Rd, Suite 410, Shreveport, LA 71106-2069 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942660287 | Larry David Allen Jr. | Nurse Practitioner | 4416 Orchid St, Shreveport, LA 71105-3130 | 2016-02-29 |
| 1912389503 | Lisa Jones Baker | Nurse Practitioner | 1002 Highland Ave Fl 2, Shreveport, LA 71101-4143 | 2015-06-19 |
| 1407264989 | Jaschandria Bailey | Nurse Practitioner | Brentwood Hospital, 1006 Highland Avenue, Shreveport, LA 71101-4202 | 2014-07-28 |
| 1851493829 | Susan M Derivas | Nurse Practitioner | 1651 E 70th St # 382, Shreveport, LA 71105-5115 | 2006-09-01 |
| 1518574441 | Jadebrey Vyshette Kennon | Nurse Practitioner | 1541 Kings Hwy, Shreveport, LA 71103-4228 | 2020-09-24 |
| 1740801752 | Mitsi Tonette Long | Nurse Practitioner | 3341 Youree Dr Ste 205, Shreveport, LA 71105-2149 | 2020-04-30 |
| 1104471382 | Juanita Carolyn Roberts | Nurse Practitioner | 1006 Highland Ave, Shreveport, LA 71101-4103 | 2019-08-05 |
| 1841792249 | James G Jones IIi | Nurse Practitioner | 1002 Highland Ave, Shreveport, LA 71101-4143 | 2018-03-02 |
| 1225539984 | Marnitta Demming | Nurse Practitioner | 7591 Fern Ave Ste 1705, Shreveport, LA 71105-5749 | 2018-02-27 |
| 1912417262 | Janey Gaston | Nurse Practitioner | 8731 Park Plaza Dr, Shreveport, LA 71105-5682 | 2017-10-01 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
Please comment or provide details below to improve the information on MS. KELLY A YERGER.
| 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.