MISS KRISTINA N VIDRINE (NPI# 1629365408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629365408 |
| Entity Type | Individual |
| Full Name | MISS KRISTINA N VIDRINE |
| Credential | P.A. |
| Practice Address |
920 Avenue B Marrero LA 70072-3112 |
| Practice Telephone | 5043496804 |
| Practice Fax Number | 5043496844 |
| Mailing Telephone | 5043496804 |
| Mailing Fax Number | 5043496844 |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2011-06-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA200353 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
920 AVENUE B |
| City | MARRERO |
| State | LA |
| Zip Code | 70072-3112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669421533 | Mark Juneau Jr. | Orthopaedic Surgery | 920 Avenue B, Marrero, LA 70072-3112 | 2006-05-09 |
| 1922642461 | Brett Otto Nickel | Physical Therapy Assistant | 920 Avenue B, Marrero, LA 70072-3112 | 2019-10-28 |
| 1548718711 | John Kesler | Physician Assistant | 920 Avenue B, Marrero, LA 70072-3112 | 2016-09-16 |
| 1750753810 | Brandon Wallace | Physical Therapy Assistant | 920 Avenue B, Marrero, LA 70072-3112 | 2015-10-28 |
| 1407236755 | Stephanie Maguire | Physical Therapist | 920 Avenue B, Marrero, LA 70072-3112 | 2015-06-02 |
| 1417389693 | Julie Tran | Physical Therapy Assistant | 920 Avenue B, Marrero, LA 70072-3112 | 2013-07-30 |
| 1407288681 | Nannette Crystal | Physical Therapy Assistant | 920 Avenue B, Marrero, LA 70072-3112 | 2013-07-30 |
| 1225220551 | Wesley Allen Clark | Orthopaedic Surgery | 920 Avenue B, Marrero, LA 70072-3112 | 2007-08-10 |
| 1912197575 | Barton Lloyd Wax | Orthopaedic Surgery | 920 Avenue B, Marrero, LA 70072-3112 | 2007-07-30 |
| 1336288752 | L Thomas Cashio Md & Mark Juneau Jr Md,pc | Orthopaedic Surgery | 920 Avenue B, Marrero, LA 70072-3112 | 2007-02-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
| 1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
| 1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
| 1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
| 1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
| 1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
| 1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
| 1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
| 1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
| Find all providers in zip 70072 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584263 | Kaycie Fontenot Setliff | Physician Assistant | 1111 Medical Center Blvd Ste North406, Marrero, LA 70072-3151 | 2020-10-07 |
| 1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
| 1952920324 | Kirstie Rae Schieffler | Physician Assistant | 1111 Medical Center Blvd, Marrero, LA 70072-3151 | 2020-04-15 |
| 1366924458 | Shawna Lynn Morron | Physician Assistant | 4225 Lapalco Blvd, Marrero, LA 70072-4324 | 2018-09-05 |
| 1265822878 | Kellee R. Swider | Physician Assistant | 4513 Westbank Expressway, Marrero, LA 70072-3147 | 2015-02-03 |
| 1558701631 | Amanda Cenac Martin | Physician Assistant | 1111 Medical Center Blvd, Suite S350, Marrero, LA 70072-3151 | 2013-07-03 |
| 1558705848 | Katherine Butler Swords | Physician Assistant | 1111 Medical Center Blvd, Suite South 350, Marrero, LA 70072-3151 | 2013-04-17 |
| 1902184930 | Alisha Latham Lee | Physician Assistant | 1111 Medical Center Blvd, Suite S-450, Marrero, LA 70072-3151 | 2011-07-25 |
| 1285642926 | Mary Francine Briscoe | Physician Assistant | 1111 Medical Center Blvd, Suite S-450, Marrero, LA 70072 | 2006-08-04 |
| 1265477855 | Andrea I Mahfouz | Physician Assistant | 1111 Medical Center Blvd, Ste S-750, Marrero, LA 70072 | 2006-06-18 |
| Find all providers in MARRERO | ||||
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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.