Kaytlin H Hughes (NPI# 1619490166, PAC ID# 9830464577) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1619490166 |
PAC ID by PECOS | 9830464577 |
Professional Enrollment ID | I20190912002345 |
Full Name | Kaytlin H Hughes |
Organization Legal Name | WK PINES ROAD FAMILY MEDICINE |
Address |
6821 Pines Rd Suite 100 Shreveport LA 71129-2547 |
Phone Number | 3186875500 |
Gender | F |
Graduation Year | 2017 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 4880745629 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
190111 | WILLIS KNIGHTON MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
6821 Pines Rd, Suite 100, Shreveport, LA 71129-2547 | 3186875500 | WK PINES ROAD FAMILY MEDICINE |
Organization Legal Name | WK PINES ROAD FAMILY MEDICINE |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
James S May | Family Medicine | Wk Pines Road Family Medicine | 6821 Pines Rd, Suite 100, Shreveport, LA 71129-2547 |
Street Address |
6821 PINES RD SUITE 100 |
City | SHREVEPORT |
State | LA |
Zip | 71129-2547 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tonya M Clayton | Internal Medicine | 6821 Pines Rd, Suite 200, Shreveport, LA 71129-2547 | |
James S May | Family Medicine | Wk Pines Road Family Medicine | 6821 Pines Rd, Suite 100, Shreveport, LA 71129-2547 |
Dharam P Gurwara | Physical Medicine and Rehabilitation | 6821 Pines Rd, Suite 400, Shreveport, LA 71129-2547 | |
Abubakar D Ibrahim | Emergency Medicine | 6821 Pines Rd, Suite 300, Shreveport, LA 71129-2547 | |
Krishna Raj Singh | Internal Medicine | 6821 Pines Rd, Suite 400, Shreveport, LA 71129-2547 |
Name | Specialty | Organization | Address |
---|---|---|---|
James P Murphy | Optometry | 6235 Westport Ave, Shreveport, LA 71129-2503 | |
Mark D Guice | Chiropractic | 7645 Pines Rd, Shreveport, LA 71129-3905 | |
Jaschandria I Bailey | Nurse Practitioner | Shreveport Family Medicine Inc | 7505 Pines Rd, Suite 1250, Shreveport, LA 71129-3927 |
Shelia L. Jackson | Nurse Practitioner | Shreveport Family Medicine Inc | 7505 Pines Rd, Suite 1250, Shreveport, LA 71129-3927 |
Antwan Butler | Clinical Social Worker | Peaceful Alternatives Counseling and Therapy LLC | 5902 Buncombe Rd, Shreveport, LA 71129-4004 |
Derrick L Stevenson | Clinical Social Worker | 12117 Providence Rd, Shreveport, LA 71129-8521 |
City | SHREVEPORT |
Zip Code | 71129 |
Specialty | NURSE PRACTITIONER |
City + Specialty | SHREVEPORT + NURSE PRACTITIONER |
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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.