KITTY A ROARK. (NPI# 1548447568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548447568 |
| Entity Type | Organization |
| Organization Name | KITTY A ROARK. |
| Other Organization Name | COULEUR COSMETICS BOUTIQUE & ACC |
| Practice Address |
855 Pierremont Rd Ste 126 Shreveport LA 71106-2074 |
| Practice Telephone | 3188685851 |
| Practice Fax Number | 3187983348 |
| Mailing Telephone | 3188685851 |
| Mailing Fax Number | 3187983348 |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | MRS. KITTY A. ROARK (OWNER) |
| Authorized Official Telephone | 3188685851 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 00193754 | LA | Suppliers |
| Other Name | Type Code |
|---|---|
| Couleur Cosmetics Boutique & ACC | Doing Business As Name - Organization |
| Street Address |
855 PIERREMONT RD STE 126 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-2074 |
| 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 | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295242311 | Romunda Lockett | Prosthetic/Orthotic Supplier | 902 Pierre Ave, Shreveport, LA 71103-2828 | 2018-01-10 |
| 1053623157 | Butterfly Boutique, LLC | Prosthetic/Orthotic Supplier | 1950 E 70th St, Suite G, Shreveport, LA 71105-5345 | 2010-07-06 |
| 1841427788 | Magnolia Durable Medical Equipment Inc. | Prosthetic/Orthotic Supplier | 2005 Creswell Street, Shreveport, LA 71104-2201 | 2009-06-18 |
| 1093963878 | Snells Limbs & Braces of Shreveport LLC | Prosthetic/Orthotic Supplier | 8730 Youree Dr, Building A, Shreveport, LA 71115-2518 | 2008-09-04 |
| 1316195795 | Riffle Prosthetics and Orthotics Inc | Prosthetic/Orthotic Supplier | 1938 E 70th St, Suite D, Shreveport, LA 71105-5340 | 2008-08-28 |
| 1982867032 | Arnold O & P Lab, Inc | Prosthetic/Orthotic Supplier | 619 Jordan Street, Shreveport, LA 71101 | 2008-07-09 |
| 1851442503 | Snells Limbs & Braces of Shreveport LLC | Prosthetic/Orthotic Supplier | 1833 Line Ave, Shreveport, LA 71101-4611 | 2007-01-16 |
| 1811961436 | Promyse-prosthetic Orthotic Group | Prosthetic/Orthotic Supplier | 3227 Portland Ave, Shreveport, LA 71103-4026 | 2006-02-13 |
| 1235139098 | Red River Orthotic Specialists, LLC | Prosthetic/Orthotic Supplier | 820 Jordan St, Suite 110, Shreveport, LA 71101-4518 | 2005-07-22 |
| 1912303330 | Pediatric Orthotic and Prosthetic Services-southeast, LLC | Prosthetic/Orthotic Supplier | 3100 Samford Ave, Shreveport, LA 71103-4239 | 2014-11-12 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
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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.