KELISIA BURKS MCKAY (NPI# 1962447045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962447045 |
Entity Type | Individual |
Full Name | KELISIA BURKS MCKAY |
Credential | FNP |
Practice Address |
200 W Esplanade Ave Suite 205 Kenner LA 70065-2489 |
Mailing Address |
423 Avenue Palais Royal P.o. Box 3059 Covington LA 70433-6403 |
Practice Telephone | 5044121705 |
Practice Fax Number | 5044121702 |
Mailing Telephone | 9858097954 |
Enumeration Date | 2006-06-20 |
Last Update Date | 2009-01-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APO4592 | LA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1528820 | 05 |
Street Address |
200 W ESPLANADE AVE SUITE 205 |
City | KENNER |
State | LA |
Zip Code | 70065-2489 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619971074 | Karl Neal Hanson | Family Medicine | 200 W Esplanade Ave, Ste 307, Kenner, LA 70065-2474 | 2005-06-13 |
1457952400 | Brittany Ragas | Nurse Practitioner | 200 W Esplanade Ave, Kenner, LA 70065-2489 | 2020-11-05 |
1285285510 | Louisiana State University School of Medicine In New Orleans Faculty | Specialist | 200 W Esplanade Ave, Kenner, LA 70065-2489 | 2019-09-27 |
1235784505 | Katherine Boston | Nurse Practitioner | 200 W Esplanade Ave, Kenner, LA 70065-2489 | 2019-08-05 |
1386153591 | Kayleigh Eppling Binet | Orthopaedic Surgery | 200 W Esplanade Ave, Kenner, LA 70065-2489 | 2017-09-20 |
1609317999 | Stephen Lambert | Family Medicine | 200 W Esplanade Ave, Kenner, LA 70065-2489 | 2017-03-20 |
1467908764 | Rekha Ramachandran | Internal Medicine | 200 W Esplanade Ave, Suite 210, Kenner, LA 70065-2489 | 2016-08-28 |
1700230745 | Penny Ann Boyle | Family Medicine | 200 W Esplanade Ave, Suite 412, Kenner, LA 70065-2489 | 2016-04-15 |
1205217684 | Emily Elizabeth Montz | Physician Assistant | 200 W Esplanade Ave, Ste 210, Kenner, LA 70065-2489 | 2015-06-11 |
1215347570 | Adeel Zia | Family Medicine | 200 W Esplanade Ave, Suite 409, Kenner, LA 70065-2489 | 2014-05-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689226946 | Silver Lining Dentistry & Co. | Clinic/Center | 2305 West Esplanade Suit U, Kenner, LA 70065 | 2019-07-16 |
1912462615 | Tamiqua Monique Torres | Lactation Consultant, Non-RN | 4129 Idaho Ave #a, Kenner, LA 70065 | 2019-02-06 |
1649766650 | Kenner Dental Associates, LLC | Dentist | 1501 32nd St., Kenner, LA 70065 | 2018-07-03 |
1194216465 | Shanne Gilbert | Technician, Pathology | Kenner Metairie and Surrounding Areas, Kenner, LA 70065 | 2018-05-23 |
1437668597 | Jbl Rx LLC | Pharmacy | 2305 West Esplanade Ave, Suite T, Kenner, LA 70065 | 2017-09-21 |
1073049532 | Jonathan English | Counselor | 3701 Tulane Dr, Kenner, LA 70065 | 2017-05-03 |
1033644752 | Fonteno Services LLC | Non-emergency Medical Transport (VAN) | 3017 Huntsville, St, Kenner, LA 70065 | 2017-05-01 |
1821521915 | Shondreca Nicole Sanders | Counselor | 4520 Williams Blvd, #y383, Kenner, LA 70065 | 2017-04-06 |
1225570104 | Dominiece Lacroix | Nurse Practitioner | 3616 Loyola Drive, 271, Kenner, LA 70065 | 2016-11-09 |
1427506286 | Lisandra Nunez | Counselor | 153 Auburn Pl, Kenner, LA 70065 | 2016-09-21 |
Find all providers in zip 70065 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780294462 | Michael David George | Nurse Practitioner | 812 Joe Yenni Blvd Apt 2, Kenner, LA 70065-1232 | 2020-08-06 |
1437664943 | Primary Care At Home of Louisiana Iv, LLC | Nurse Practitioner | 200 W Esplanade Ave Ste 601, Kenner, LA 70065-2475 | 2017-12-06 |
1467975045 | April Denice Calahan | Nurse Practitioner | 2801 Bruin Dr, Kenner, LA 70065-4707 | 2017-07-25 |
1225570104 | Dominiece Lacroix | Nurse Practitioner | 3616 Loyola Drive, 271, Kenner, LA 70065 | 2016-11-09 |
1588003586 | Kerissa Naquin Fernandez | Nurse Practitioner | 231 W Esplanade Ave Ste B, Kenner, LA 70065-2459 | 2013-06-24 |
1295061901 | Charla Jane Scheve | Nurse Practitioner | 4229 Pommard Dr, Kenner, LA 70065-1759 | 2009-10-30 |
1427257773 | Jamie Mitchell Mcdonald | Nurse Practitioner | Samuel Y Brown Pediatrics, 3813 Williams Blvd, Kenner, LA 70065 | 2007-07-17 |
1386718153 | Anthonia N. Imudia | Nurse Practitioner | 3715 Williams Blvd, Suite 100, Kenner, LA 70065-3075 | 2006-11-20 |
1467457481 | Deanna M Quinn-stevenson | Nurse Practitioner | 820 W Esplanade Ave, Kenner, LA 70065-2757 | 2005-06-16 |
1235784505 | Katherine Boston | Nurse Practitioner | 200 W Esplanade Ave, Kenner, LA 70065-2489 | 2019-08-05 |
Find all providers in KENNER |
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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.