MRS. KIMBERLY SPOTTS


Address: 1500 Line Ave Ste 200, Shreveport, LA 71101-4643
Phone: 3186295555

MRS. KIMBERLY SPOTTS (NPI# 1326298316) 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) 1326298316
Entity Type Individual
Full Name MRS. KIMBERLY SPOTTS
Credential PA-C
Practice Address 1500 Line Ave Ste 200
Shreveport
LA 71101-4643
Practice Telephone 3186295555
Practice Fax Number 3186295556
Mailing Telephone 3186295555
Mailing Fax Number 3186295556
Enumeration Date 2008-09-25
Last Update Date 2018-09-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
200366 LA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1500 LINE AVE STE 200
City SHREVEPORT
State LA
Zip Code 71101-4643

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235330432 Peter Gravel Campbell Neurological Surgery 1500 Line Ave Ste 200, Shreveport, LA 71101-4643 2007-05-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255988630 Renee Jewitt Case Manager/Care Coordinator 1513 Line Avenue, Suite 225, Shreveport, LA 71101 2019-08-21
1942770094 Bessie Larry Case Manager/Care Coordinator 1513 Line Av, 222, Shreveport, LA 71101 2018-12-03
1750875944 Jarvis Decarleonne Larry Community Health Worker 1513 Line Ave # 222, Shreveport, LA 71101 2018-06-20
1871083485 Kimberly B. Mcclelland, Lcsw Counselor 820 Jordan St. Ste 510w, Shreveport, LA 71101 2018-05-18
1982106456 Hudson Amc LLC Internal Medicine 1800 Irving Place, Shreveport, LA 71101 2018-03-01
1528572955 Spencer Ron Floyd Counselor 1717 Marshall Street, Shreveport, LA 71101 2017-11-21
1578088076 Brittany Morris Case Manager/Care Coordinator 1835 Spring Street Annex Building, Shreveport, LA 71101 2017-08-07
1275058794 Diane Williams Case Manager/Care Coordinator 217 Jones St Apt 510, Shreveport, LA 71101 2017-08-04
1386195972 Jakeya Woodbury Counselor 453 Stoner Ave, Shreveport, LA 71101 2016-10-18
1922459643 Arlene Huling Counselor 449 Egan Street, Shreveport, LA 71101 2016-06-23
Find all providers in zip 71101

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285290098 Nicole Michelle Toups Physician Assistant 2551 Greenwood Rd Ste 311, Shreveport, LA 71103-3981 2019-05-16
1235220708 Maribeth Forrest Physician Assistant 2800 Hearne Ave, Shreveport, LA 71103-3934 2006-09-27
1821096686 Charles Girard Tisdale Physician Assistant 1455 E Bert Koun Loop, #210, Shreveport, LA 71105-5634 2005-07-14
1609474428 Thea Christine Fontenot Physician Assistant 2751 Albert L Bicknell Dr Ste 5c, Shreveport, LA 71103-3943 2020-10-14
1285145706 Georgia Shively Monk Physician Assistant 7925 Youree Dr, Shreveport, LA 71105-5127 2017-10-24
1194243899 Serena Shah Frye Physician Assistant 2751 Albert L Bicknell Dr Ste 5c, Shreveport, LA 71103-3943 2017-09-01
1356892665 Ryan D Elledge Physician Assistant 1500 Line Ave, Suite 200, Shreveport, LA 71101-4639 2016-10-21
1104374099 Britney Brown Physician Assistant 2751 Albert L Bicknell Dr, Suite 5c, Shreveport, LA 71103-3920 2016-09-20
1740665694 Jennifer Michelle Bigbee Physician Assistant 2751 Albert L Bicknell Dr, Shreveport, LA 71103-3920 2015-07-21
1356722466 Surgassist of Shreveport, LLC Physician Assistant 949 Olive St, Shreveport, LA 71104-2103 2015-06-15
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71101

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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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