DR. CRISTAL CHANEL KIRBY (NPI# 1558529297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558529297 |
| Entity Type | Individual |
| Full Name | DR. CRISTAL CHANEL KIRBY |
| Credential | M.D. |
| Practice Address |
164 Country Club Cir Ste B Minden LA 71055-7502 |
| Practice Telephone | 3186399422 |
| Practice Fax Number | 3186399423 |
| Mailing Telephone | 3186399422 |
| Mailing Fax Number | 3186399423 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2017-02-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 204591 | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2155717 | 05 |
| Street Address |
164 COUNTRY CLUB CIR STE B |
| City | MINDEN |
| State | LA |
| Zip Code | 71055-7502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911339 | Walter Matheny II | Nurse Practitioner | 216 W Union Street Ste A Minden, Minden, LA 71055 | 2020-10-27 |
| 1194331579 | Minden Family Pharmacy LLC | Pharmacy | 120 Homer Rd, Minden, LA 71055 | 2020-09-21 |
| 1003469479 | Premier Family Clinic | Nurse Practitioner | 102 Office Park Dr., Minden, LA 71055 | 2019-07-24 |
| 1952803389 | Regina Flournoy | Case Manager/Care Coordinator | 561 Angi Rd, Minden, LA 71055 | 2018-03-01 |
| 1902322233 | New Concept Development Center | Clinic/Center | 15365 Hwy 80, Minden, LA 71055 | 2017-08-18 |
| 1396269304 | Tashalana Walker | Counselor | 601 Homer Rd., Minden, LA 71055 | 2017-08-01 |
| 1992227029 | Kathryn Anne Landreneau | Nurse Practitioner | 101 Murrell St Ste 2, Minden, LA 71055 | 2017-07-11 |
| 1639699937 | Shykiia Hawkins | Counselor | 409 Meadowview Drive, Minden, LA 71055 | 2017-06-27 |
| 1053851147 | Shatoria Moore | Case Manager/Care Coordinator | 305 Homer Rd, Minden, LA 71055 | 2017-03-08 |
| 1821547258 | Sheretha Harrison | Counselor | 1008 Brenda Cir, Minden, LA 71055 | 2016-09-27 |
| Find all providers in zip 71055 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649269564 | Elizabeth Ann Phillips | Pediatrics | 101 Madison Sq, Minden, LA 71055-3095 | 2005-10-14 |
| 1144838160 | Kimberly Mayo Pool | Pediatrics | 1232 Sheppard St, Minden, LA 71055-3460 | 2020-07-15 |
| 1154687432 | Kimberly Holley Reagan | Pediatrics | 1232 Sheppard St, Minden, LA 71055-3460 | 2012-04-11 |
| 1376830554 | Mountainview Medical Associates | Pediatrics | 925 Ironwood Dr, Suite 2108, Minden, NV 89423-5178 | 2011-07-07 |
| 1427111236 | Dr Michael J. Ulich Pediatrics, LLC | Pediatrics | 1232 Sheppard St, Minden, LA 71055-3460 | 2006-12-19 |
| 1104987536 | Phillips Medical Corporation | Pediatrics | 101 Madison Sq, Minden, LA 71055-3095 | 2006-12-12 |
| 1629161773 | Michael J Ulich | Pediatrics | 1232 Sheppard St, Minden, LA 71055-3460 | 2006-10-02 |
| 1235190034 | Virginia M Quinones | Pediatrics | 2 Medical Plaza, Minden, LA 71055 | 2006-03-31 |
| 1194791962 | Merry Medical Team | Pediatrics | 1649 Lucerne St, Ste A & B, Minden, NV 89423-4363 | 2006-02-23 |
| 1104890508 | Carol Tusang Swartz | Pediatrics | 925 Ironwood Dr, Suite 2108, Minden, NV 89423-5178 | 2006-02-14 |
| Find all providers in MINDEN | ||||
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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.