Kassidy Blaine Bynum (NPI# 1154845147, PAC ID# 8022375922) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1154845147 |
| PAC ID by PECOS | 8022375922 |
| Professional Enrollment ID | I20171201000212 |
| Full Name | Kassidy Blaine Bynum |
| Organization Legal Name | GULFSOUTH HOSPITAL MEDICINE LLC |
| Address |
1970 N Hwy 190 Covington LA 70433-5158 |
| Phone Number | 9854005988 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6901151984 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190176 | TULANE MEDICAL CENTER |
| 191313 | RIVERSIDE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1970 N Hwy 190, Covington, LA 70433-5158 | 9854005988 | GULFSOUTH HOSPITAL MEDICINE LLC |
| 1970 N Hwy 190, Covington, LA 70433-5158 | 9858678585 | NORTHLAKE NEPHROLOGY, INC |
| Organization Legal Name | GULFSOUTH HOSPITAL MEDICINE LLC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Loupe | Nurse Practitioner | Gulfsouth Hospital Medicine LLC | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Ashley M Mossbarger | Nurse Practitioner | Gulfsouth Hospital Medicine LLC | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Elizabeth King | Nurse Practitioner | Gulfsouth Hospital Medicine LLC | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Molly J Broom | Nurse Practitioner | Gulfsouth Hospital Medicine LLC | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Lisa G Melek | Nurse Practitioner | Gulfsouth Hospital Medicine LLC | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Dawn Mccall | Nurse Practitioner | Gulfsouth Hospital Medicine LLC | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Erin Elizabeth Gill | Nurse Practitioner | Gulfsouth Hospital Medicine LLC | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Jeannine F Frederick | Nurse Practitioner | Gulfsouth Hospital Medicine LLC | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Kathryn M Accardo | Nurse Practitioner | Gulfsouth Hospital Medicine LLC | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Jennifer Roche | Nurse Practitioner | Gulfsouth Hospital Medicine LLC | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Street Address |
1970 N HWY 190 |
| City | COVINGTON |
| State | LA |
| Zip | 70433-5158 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsea Jaide Wood | Nurse Practitioner | Nni Covington LLC | 1970 N Hwy 190, Covington, LA 70433-5364 |
| Brittany Loupe | Nurse Practitioner | Gulfsouth Hospital Medicine LLC | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Ashley M Mossbarger | Nurse Practitioner | Gulfsouth Hospital Medicine LLC | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Elise Guidry | Nurse Practitioner | Slr Holdings LLC | 1970 N Hwy 190, Covington, LA 70433-5364 |
| Sumitha Ganji | Nephrology | Northlake Nephrology, Inc | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Melannie D White | Podiatry | 1970 N Hwy 190, Covington, LA 70433-5158 | |
| Elizabeth King | Nurse Practitioner | Gulfsouth Hospital Medicine LLC | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Molly J Broom | Nurse Practitioner | Gulfsouth Hospital Medicine LLC | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Lisa G Melek | Nurse Practitioner | Gulfsouth Hospital Medicine LLC | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Dawn Mccall | Nurse Practitioner | Gulfsouth Hospital Medicine LLC | 1970 N Hwy 190, Covington, LA 70433-5158 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cindy Pechon | Clinical Social Worker | 5001 U S Hwy 190 D4, Covington, LA 70433 | |
| Richard B Drude | Gastroenterology | Richard B. Drude, Jr., M.d., Apmc | 69150 Hwy 190, Covington, LA 70433 |
| Bruce S Samuels | Internal Medicine | 189 Greenbriar Blvd, Suite C, Covington, LA 70433 | |
| Nicholas J Viviano | Dermatology | 7031 Hwy 190, Covington, LA 70433 | |
| Thomas W Nielsen Jr. | Clinical Social Worker | 5001 Hwy 190, Suite B 1, Covington, LA 70433 | |
| Glenn D Hedgpeth | Gastroenterology | Dr. Bruce S. Samuels, LLC | 189 Greenbriar Blvd, Covington, LA 70433 |
| Brian C Cochran | Physical Therapy | Covington Physical Therapy Center | 129 Corporate Dr, Covington, LA 70433-1057 |
| Jonathan S Mitchell | Physical Therapy | Covington Physical Therapy Center | 129 Corporate Dr, Covington, LA 70433-1057 |
| Charles Balette | Family Medicine | 1119 S Tyler St, Covington, LA 70433-2327 | |
| Roy C Saguiguit | Internal Medicine | 1113 S Tyler St, Covington, LA 70433-2327 | |
| Find all physicians in zip 70433 | |||
| City | COVINGTON |
| Zip Code | 70433 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COVINGTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kassidy Blaine Bynum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.