KRISTY LEIGH DIBBLE (NPI# 1457716151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457716151 |
| Entity Type | Individual |
| Full Name | KRISTY LEIGH DIBBLE |
| Credential | NP |
| Practice Address |
4560 North Blvd Suite 108 Baton Rouge LA 70806-4043 |
| Mailing Address |
4550 North Blvd Suite 250 Baton Rouge LA 70806-4013 |
| Practice Telephone | 2259280695 |
| Practice Fax Number | 2253415903 |
| Mailing Telephone | 2259261269 |
| Mailing Fax Number | 2259277367 |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2016-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP05714 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4560 NORTH BLVD SUITE 108 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-4043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831196096 | Joni Ferguson Nickens | Nurse Practitioner | 4560 North Blvd, Ste 101, Baton Rouge, LA 70806-4043 | 2005-07-03 |
| 1912372319 | Bridget Suire | Social Worker | 4560 North Blvd, Suite 101, Baton Rouge, LA 70806-4043 | 2015-12-10 |
| 1285045633 | Karen Weston | Pharmacist | 4560 North Blvd, Ste 102, Baton Rouge, LA 70806-4043 | 2014-05-19 |
| 1467885327 | Kendrick M. Ebanks | Social Worker | 4560 North Blvd, Suite 102 B, Baton Rouge, LA 70806-4043 | 2013-08-14 |
| 1053529727 | Michael Edward Hymbaugh | Internal Medicine | 4560 North Blvd, Ste 101, Baton Rouge, LA 70806-4043 | 2007-05-18 |
| 1336364652 | Irby Dupont | Optometrist | 4560 North Blvd, Baton Rouge, LA 70806-4043 | 2007-04-13 |
| 1760503924 | Yolanda Alexander Dunbar-johnson | Social Worker | 4560 North Blvd, Suite 104, Baton Rouge, LA 70806-4043 | 2007-04-03 |
| 1053452912 | Diabetes Express Supply Co | Durable Medical Equipment & Medical Supplies | 4560 North Blvd, Suite 102, Baton Rouge, LA 70806-4043 | 2007-02-12 |
| 1982754289 | Advanced Comprehensive Testing Inc | Clinical Nurse Specialist | 4560 North Blvd, Suite 115, Baton Rouge, LA 70806-4043 | 2007-01-11 |
| 1326122987 | Louisiana Express Pharmacy | Pharmacy | 4560 North Blvd, Suite 102, Baton Rouge, LA 70806-4043 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750582953 | Mary L Abadie | Nurse Practitioner | J K Haynes Bldg 170, 3rd Floor, Baton Rouge, LA 70813-0001 | 2007-05-29 |
| 1356340038 | Rebecca Knost Bokun | Nurse Practitioner | 5131 Odonovan Dr, Baton Rouge, LA 70808-4791 | 2005-07-15 |
| 1912466863 | Rikki F Bourque | Nurse Practitioner | 7777 Hennessy Blvd Ste 306, Baton Rouge, LA 70808-4365 | 2019-03-19 |
| 1699287151 | Anna Stokes | Nurse Practitioner | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2017-10-24 |
| 1396108619 | Rachael Merey Simms | Nurse Practitioner | 888 Tara Blvd, Baton Rouge, LA 70806-7818 | 2016-04-04 |
| 1588051296 | Emily Mcmann | Nurse Practitioner | 8415 Goodwood Blvd Ste 200, Baton Rouge, LA 70806 | 2015-04-20 |
| 1801289624 | Theresa Escude' Robert | Nurse Practitioner | 7278 Highland Rd, Suite B, Baton Rouge, LA 70808-6600 | 2015-03-18 |
| 1700279841 | Emily Jewell | Nurse Practitioner | 7373 Perkins Rd, Baton Rouge, LA 70808-4326 | 2015-03-13 |
| 1639560519 | Katherine Montgomery Helo | Nurse Practitioner | 7777 Hennessy Blvd, Suite 312, Baton Rouge, LA 70808-4300 | 2015-02-12 |
| 1477950798 | Rachel Sue Stephenson | Nurse Practitioner | 888 Tara Blvd, Suite F, Baton Rouge, LA 70806-7818 | 2014-12-02 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on KRISTY LEIGH DIBBLE.
| 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.