MS. KIMBERLY AVANT RAO


Address: 4508 Coliseum Blvd, Ste L, Alexandria, LA 71303-3564
Phone: 3184430490

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP06212 LA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 2195565 05

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NPI Name Taxonomy Address Enumeration
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Office Location

Street Address 4508 COLISEUM BLVD
STE L
City ALEXANDRIA
State LA
Zip Code 71303-3564

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City ALEXANDRIA
Zip Code 71303

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Dataset Information

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.

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