KERRI DAVIS-FONTENOT (NPI# 1932528080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932528080 |
| Entity Type | Individual |
| Full Name | KERRI DAVIS-FONTENOT |
| Credential | MD |
| Practice Address |
2000 Tybee Ln Lake Charles LA 70605 |
| Mailing Address |
2000 Tybee Ln Lake Charles LA 70605-4171 |
| Practice Telephone | 3374337272 |
| Practice Fax Number | 3374330730 |
| Mailing Telephone | 3374337272 |
| Mailing Fax Number | 3374330730 |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2018-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 306331 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
2000 TYBEE LN |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164847349 | Laina Nicole Bryant | Nurse Practitioner | 2000 Tybee Ln, Lake Charles, LA 70605-4171 | 2014-02-25 |
| 1326401183 | Jenna Roach | Dermatology | 2000 Tybee Ln, Lake Charles, LA 70605-4171 | 2016-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780283606 | Kristin R Morris | Clinical Nurse Specialist | 1900 W. Gaythier Rd, Lake Charles, LA 70605 | 2020-10-21 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1053898403 | Heather Spallino Duplechain | Nurse Practitioner | 6713 Nelson Rd., Lake Charles, LA 70605 | 2018-07-27 |
| 1578057956 | Noor Deeb Weckerly | Nurse Practitioner | 6713 Nelson Rd, Lake Charles, LA 70605 | 2018-06-19 |
| 1861993354 | Therapy Works of Swla LLC | Physical Therapist | 4750 Lake Street, Lake Charles, LA 70605 | 2018-02-21 |
| 1669998852 | Amd Healthcare Lc, LLC | General Acute Care Hospital | 3730 Nelson Road, Lake Charles, LA 70605 | 2017-08-18 |
| 1619422474 | Kaitlyn Pinkerton | Specialist/Technologist | 800 E Mcneese St, Lake Charles, LA 70605 | 2016-08-22 |
| 1104274679 | Kelly Rogers | Counselor | 90 N. Luke 102l, Lafayette, LA 70605 | 2016-05-25 |
| 1548616220 | Lisa Monticello Snider | Neurological Surgery | 3297 Portrush Drive, Lake Charles, LA 70605 | 2016-05-11 |
| 1114387404 | Louisiana Dental Professionals, Donovan Dronet, Dds, A Professional De | Dentist | 4459 Nelson Rd, Suite 120, Lake Charles, LA 70605 | 2016-02-29 |
| Find all providers in zip 70605 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447248166 | Shondra L. Smith, Md | Dermatology | 3635 Nelson Road, Lake Charles, LA 70605-0000 | 2005-10-06 |
| 1407848146 | Kevin A Guidry | Dermatology | 2000 Tybee St, Lake Charles, LA 70605-4171 | 2005-08-18 |
| 1326401183 | Jenna Roach | Dermatology | 2000 Tybee Ln, Lake Charles, LA 70605-4171 | 2016-03-30 |
| 1033584065 | Maureen A Olivier M.d. | Dermatology | 4150 Nelson Rd, Building E Suite 1, Lake Charles, LA 70605-4140 | 2015-12-02 |
| 1326391749 | Imperial Health LLP | Dermatology | 4150 Nelson Rd, Suite E 1, Lake Charles, LA 70605-4148 | 2012-10-23 |
| 1063679256 | Lee Martin Miller | Dermatology | 2000 Tybee St, Lake Charles, LA 70605-4171 | 2008-05-16 |
| 1407906928 | Maureen Olivier | Dermatology | 4150 Nelson Rd, Building E Suite 1, Lake Charles, LA 70605-4148 | 2007-01-10 |
| 1326027053 | Brian Paul Ford | Dermatology | 2000 Tybee St, Lake Charles, LA 70605-4171 | 2006-01-11 |
| 1780663419 | Dermatology Associates of Swla LLC | Dermatology | 2000 Tybee St, Lake Charles, LA 70605-4171 | 2006-01-11 |
| 1003895756 | Michael Eddie Cormier | Dermatology | 2000 Tybee St, Lake Charles, LA 70605-4171 | 2006-01-11 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70605 |
Please comment or provide details below to improve the information on KERRI DAVIS-FONTENOT.
| 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.