DR. AMY LYNETTE KISNER (NPI# 1326048562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326048562 |
| Entity Type | Individual |
| Full Name | DR. AMY LYNETTE KISNER |
| Credential | MD |
| Practice Address |
13702 Coursey Blvd Ste B Baton Rouge LA 70817-1370 |
| Mailing Address |
13730 Quail Grove Ave Baton Rouge LA 70809-5265 |
| Practice Telephone | 2252468000 |
| Practice Fax Number | 2252468720 |
| Mailing Telephone | 2253027187 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2012-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD.204734 | LA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 19549 | WV | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD.204734 | LA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 19549 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RAILROAD MEDICARE | P00009580 | 01 | |
| LA | 2165640 | 05 |
| Street Address |
13702 COURSEY BLVD STE B |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70817-1370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503754 | Optimus Primary Care, LLC | Clinic/Center | 13828 Coursey Boulevard, Address Line 2, Baton Rouge, LA 70817 | 2019-11-22 |
| 1457821043 | Traci Bellazin | Case Manager/Care Coordinator | 9334 Falling Oak Dr., Baton Rouge, LA 70817 | 2018-11-27 |
| 1124502869 | Jacob Schrieffer | Nurse Practitioner | 15389 Airline Highway, Baton Rouge, LA 70817 | 2018-09-19 |
| 1629564638 | Baton Rouge Dental Associates, LLC | Dentist | 14948 Market St, Baton Rouge, LA 70817 | 2018-07-03 |
| 1740786946 | Charlotte L Watts | Nurse Practitioner | 15389 Airline Hwy, Baton Rouge, LA 70817 | 2018-04-05 |
| 1164957536 | Deranecha Francois | Counselor | 17232 Jefferson Hwy, Apt 121, Baton Rouge, LA 70817 | 2017-04-24 |
| 1992251573 | Jacob Dent, Dds. Baton Rouge Modern Dentistry, A Professional Corp | Dentist | 14640 Village Market St, Suite 103, Baton Rouge, LA 70817 | 2016-09-01 |
| 1235522962 | Cardinal Community Services LLC | Clinic/Center | 13702 Coursey Blvd. Bldg 6 Ste A 2, Baton Rouge, LA 70817 | 2015-03-05 |
| 1962832204 | Bcbr Facility Services, LLC | Clinic/Center | 277 Rue De La Vie, Baton Rouge, LA 70817 | 2013-11-23 |
| 1700225737 | Renee Denise Beyer Boudreaux | Nurse Practitioner | 500 Rue De La Vie, Suite 401, Baton Rouge, LA 70817 | 2013-06-24 |
| Find all providers in zip 70817 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518581305 | Ochsner Clinic LLC | Internal Medicine | 10150 Bluebonnet Blvd, Baton Rouge, LA 70810-7131 | 2020-06-08 |
| 1417583428 | Garbutt Medical LLC | Internal Medicine | 9373 Barringer Foreman Rd Bldg 2, Baton Rouge, LA 70809-5716 | 2020-03-21 |
| 1437784907 | Affinity Health Group, LLC | Internal Medicine | 13348 Coursey Blvd, Baton Rouge, LA 70816-4970 | 2020-03-05 |
| 1881121770 | Manish Mishra | Internal Medicine | 4550 Government St, Baton Rouge, LA 70806-5817 | 2017-05-22 |
| 1750822540 | Live Oak Aesthetics and Wellness | Internal Medicine | 8225 Ymca Plaza Dr, Baton Rouge, LA 70810-0922 | 2017-03-14 |
| 1467814004 | Rajendra Boyilla | Internal Medicine | 7807 N Jefferson Place Cir, Baton Rouge, LA 70809-8632 | 2016-03-23 |
| 1063884047 | Lourdes Rodriguez | Internal Medicine | 5428 O’ Donovan Dr, Ste C, Baton Rouge, LA 70808 | 2015-10-29 |
| 1467846428 | Mary Catherine Gaston | Internal Medicine | 755 Highland Park Dr, Baton Rouge, LA 70808-5644 | 2015-03-26 |
| 1174917652 | Eric Frusha | Internal Medicine | 8585 Picardy Ave Ste 410, Baton Rouge, LA 70809-3749 | 2015-03-24 |
| 1114356979 | Baton Rouge General Primary Care, LLC | Internal Medicine | 5353 Florida Blvd, Baton Rouge, LA 70806-4130 | 2013-11-02 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70817 |
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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.