GINA MARIE KRISTIANSEN


Address: 1541 Kings Hwy, Shreveport, LA 71103-4228
Phone: 3186260000

GINA MARIE KRISTIANSEN (NPI# 1851991947) 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) 1851991947
Entity Type Individual
Full Name GINA MARIE KRISTIANSEN
Practice Address 1541 Kings Hwy
Shreveport
LA 71103-4228
Mailing Address 1512 W Kirby Pl
Shreveport
LA 71103-3822
Practice Telephone 3186260000
Mailing Telephone 3186260284
Enumeration Date 2020-10-28
Last Update Date 2020-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
1014793 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1541 KINGS HWY
City SHREVEPORT
State LA
Zip Code 71103-4228

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912909912 Brfhh Shreveport LLC General Acute Care Hospital 1541 Kings Hwy, Shreveport, LA 71103-4228 2005-08-10
1376142893 Candice Crow Internal Medicine 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-10-26
1518574441 Jadebrey Vyshette Kennon Nurse Practitioner 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-09-24
1629683230 Amanda Renae Simmons Physician Assistant 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-09-10
1255945382 Frank James List Pharmacy Technician 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-09-05
1700496312 Caroline Leigh Harris Physician Assistant 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-08-07
1740899400 Brittany Allyson Bozzell Physician Assistant 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-07-29
1386253169 Kristyn Turner Pharmacist 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-07-28
1508481722 Alexandra Blair Lemaire Physician Assistant 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-06-12
1508481953 Amy Deneal Lewing Nurse Practitioner 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-06-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083124887 Elizabeth Ponder Case Manager/Care Coordinator 404 Hearne Avenue, Shreveport, LA 71103 2017-10-05
1245648393 Madiha Tariq General Acute Care Hospital Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 2014-07-31
1659782688 Jennifer G Smith Pharmacist 1725 Claiborne Ave, Shreveport, LA 71103 2014-05-13
1336568823 Taylor Jieun Jung Student in an Organized Health Care Education/Training Program Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 2014-04-10
1578984746 Jamie Terrell Pharmacist 1625 Claiborne Ave, Shreveport, LA 71103 2013-12-13
1346675188 Srijan Tandukar Internal Medicine 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 2013-09-12
1699017681 Deanna Elise Mossallati Internal Medicine 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 2013-03-18
1346527330 Tim M Smith Clinical Exercise Physiologist 3200 Greenwood Rd., Shreveport, LA 71103 2011-11-04
1144451683 Second Chance Recovery Durable Medical Equipment & Medical Supplies 3816 Linwood, Shreveport, LA 71103 2009-07-31
1093919920 Neeraj Singh Internal Medicine 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 2007-06-13
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093349078 Alysha Hinson Nurse Practitioner 1455 E Bert Kouns Industrial Loop Ste 306, Shreveport, LA 71105-5634 2020-02-27
1356759153 Mary Tillman Acosta Nurse Practitioner 8001 Youree Dr Ste 320, Shreveport, LA 71115-2354 2014-07-24
1265725402 Katherine Maranto Salley Nurse Practitioner 827 Margaret Pl, Suite 201, Shreveport, LA 71101-4523 2011-05-20
1811030018 Rosalyn J Ferriss Nurse Practitioner 1035 Creswell Ave, Shreveport, LA 71101-3917 2007-02-15
1003900564 Tamara J Trainer Nurse Practitioner 1525 Fairfield Room 551, Dhh-office of Public Health, Shreveport, LA 71101 2006-10-02
1447805742 Emily Green Nurse Practitioner 2120 Bert Kouns Industrial Loop Ste A, Shreveport, LA 71118-3351 2019-08-05
1245885540 Kayla Marie Bryant Nurse Practitioner 2401 Greenwood Rd, Shreveport, LA 71103-4010 2019-08-05
1073049995 Holly Johnson Nurse Practitioner 8001 Youree Dr, Suite 600, Shreveport, LA 71115-2302 2017-05-11
1801336706 Dia M. Johnson Nurse Practitioner 1525 Fairfield Ave Ste 569, Shreveport, LA 71101-4331 2017-02-27
1932578820 Amanda Lyn Hayes Nurse Practitioner 2600 Kings Hwy, #420, Shreveport, LA 71103-3950 2015-09-21
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71103

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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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