MS. KIMBERLY AVANT RAO (NPI# 1811203318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811203318 |
Entity Type | Individual |
Full Name | MS. KIMBERLY AVANT RAO |
Other Name | MS. KIMBERLY FITZPATRICK |
Credential | FNP |
Practice Address |
4508 Coliseum Blvd Ste L Alexandria LA 71303-3564 |
Mailing Address |
14 Cain Rd Lecompte LA 71346-9797 |
Practice Telephone | 3184430490 |
Practice Fax Number | 3184430690 |
Mailing Telephone | 3186641647 |
Enumeration Date | 2010-08-23 |
Last Update Date | 2020-06-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP06212 | LA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 2195565 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306056502 | Kimberly Sharon Rao | Dentist | 4830 E Main St # B-7, Mesa, AZ 85205-8003 | 2007-05-23 |
Street Address |
4508 COLISEUM BLVD STE L |
City | ALEXANDRIA |
State | LA |
Zip Code | 71303-3564 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
Find all providers in zip 71303 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275131435 | Nora H Elnahas | Nurse Practitioner | 5882 Wescott Hills Way, Alexandria, VA 22315-5636 | 2020-10-11 |
1376158600 | Margrek S. Dorsey | Nurse Practitioner | 1403 Metro Dr Bldg Suiteg-2, Alexandria, LA 71301-3454 | 2020-09-14 |
1639784432 | Nichole Varga | Nurse Practitioner | 8174 Bianca Pl, Alexandria, VA 22309-3761 | 2020-09-09 |
1831707488 | Khudsiatu Tucker | Nurse Practitioner | 1636 Belle View Boulevard, Alexandria, VA 22307 | 2020-07-20 |
1134747850 | Lindsey H. Welch | Nurse Practitioner | 3601 Jackson St, Alexandria, LA 71303-3002 | 2020-07-09 |
1376160762 | Brittany Ann Filliben | Nurse Practitioner | 6944 Ellingham Cir Unit D, Alexandria, VA 22315-6509 | 2020-07-01 |
1447876289 | Headache Clinic of Cenla | Nurse Practitioner | 4508 Coliseum Blvd Ste L, Alexandria, LA 71303-3564 | 2020-06-17 |
1912522061 | Andrea Mclure Waters | Nurse Practitioner | 3018 Jackson St Ste 100, Alexandria, LA 71301-4767 | 2020-06-15 |
1568082725 | Catherine Corcoran | Nurse Practitioner | 115 S Columbus St, Alexandria, VA 22314-5008 | 2020-04-17 |
1427677574 | April Bomi Kim | Nurse Practitioner | 50 S Pickett St Ste 114, Alexandria, VA 22304-7206 | 2020-04-09 |
Find all providers in ALEXANDRIA |
City | ALEXANDRIA |
Zip Code | 71303 |
Please comment or provide details below to improve the information on MS. KIMBERLY AVANT RAO.
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.