MRS. REBECCA KNOST BOKUN (NPI# 1356340038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356340038 |
| Entity Type | Individual |
| Full Name | MRS. REBECCA KNOST BOKUN |
| Credential | P.N.P. |
| Practice Address |
5131 Odonovan Dr Baton Rouge LA 70808-4791 |
| Mailing Address |
5959 S Sherwood Forest Blvd Baton Rouge LA 70816-6038 |
| Practice Telephone | 2254900393 |
| Practice Fax Number | 2254900396 |
| Mailing Telephone | 2255260006 |
| Mailing Fax Number | 2257659291 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2016-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP04513 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1475866 | 05 | |
| LA | LA. APRN # | AP04513 | 01 |
| Street Address |
5131 ODONOVAN DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70808-4791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013515394 | Allison Brocato Dillard | Pharmacist | 5131 Odonovan Dr, Baton Rouge, LA 70808-4791 | 2020-10-09 |
| 1073140372 | Linda Auduong | Student in an Organized Health Care Education/Training Program | 5131 Odonovan Dr, Baton Rouge, LA 70808-4791 | 2020-03-25 |
| 1497269666 | Ashley Haney | Nurse Practitioner | 5131 Odonovan Dr, Baton Rouge, LA 70808-4791 | 2017-11-27 |
| 1447791686 | Robert Edward Hosse IIi | Internal Medicine | 5131 Odonovan Dr, Baton Rouge, LA 70808-4791 | 2017-03-20 |
| 1558815720 | Nephrology Management LLC | Internal Medicine | 5131 Odonovan Dr, 1st Floor, Baton Rouge, LA 70808-4791 | 2016-08-05 |
| 1245697994 | Jessica Cantwell Tran | Nurse Practitioner | 5131 Odonovan Dr, Baton Rouge, LA 70808-4791 | 2016-01-26 |
| 1497124325 | Elizabeth Keys Casselberry | Nurse Practitioner | 5131 Odonovan Dr, Ste 300, Baton Rouge, LA 70808-4782 | 2015-09-22 |
| 1164819231 | Baret Bercier | Student in an Organized Health Care Education/Training Program | 5131 Odonovan Dr, Baton Rouge, LA 70808-4782 | 2015-04-16 |
| 1720492200 | Judson Hardy Jones | Nurse Practitioner | 5131 Odonovan Dr, Baton Rouge, LA 70808-4782 | 2014-06-12 |
| 1790027589 | William Thomas Varnado | Internal Medicine | 5131 Odonovan Dr, Baton Rouge, LA 70808-4791 | 2013-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790313161 | Leah Michelle Dlugolecki | Student in an Organized Health Care Education/Training Program | Lsu Psychiatry Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2020-03-31 |
| 1003376302 | Kristina Pham | Student in an Organized Health Care Education/Training Program | 5246 Brittany Drive, 3rd Floor, Baton Rouge, LA 70808 | 2019-03-22 |
| 1083174486 | John Jay Hogan | Student in an Organized Health Care Education/Training Program | Lsu Emergency Medicine Residency Program, 5246 Brittany Drive, Baton Rouge, LA 70808 | 2019-03-21 |
| 1033682075 | Joseph Bertell Davis Jr. | Case Manager/Care Coordinator | 2460 College Drive, Baton Rouge, LA 70808 | 2019-01-02 |
| 1508340886 | Jennifer Miatech | Student in an Organized Health Care Education/Training Program | 8585 Picardy Ave., Medical Tower 2, Baton Rouge, LA 70808 | 2018-09-21 |
| 1700389137 | Jenee Robins | Case Manager/Care Coordinator | 2100 College Dr Apt 159, Baton Rouge, LA 70808 | 2018-03-12 |
| 1952812893 | Da Vonna Dents | Behavioral Analyst | 418 Stoney Creek Ave, Baton Rouge, LA 70808 | 2017-10-18 |
| 1962925669 | Katharine Elizabeth Blum | Counselor | 7936 Wrenwood Blvd. Ste A, Baton Rouge, LA 70808 | 2017-07-25 |
| 1801316120 | Amie Jackson | Social Worker | 5420 Corporate Blvd. Ste 308, Baton Rouge, LA 70808 | 2017-06-27 |
| 1235660713 | Melissa A Eddy-shelby | Student in an Organized Health Care Education/Training Program | 5000 Hennessy Blvs, Suite 6004, Baton Rouge, LA 70808 | 2017-03-25 |
| Find all providers in zip 70808 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750582953 | Mary L Abadie | Nurse Practitioner | J K Haynes Bldg 170, 3rd Floor, Baton Rouge, LA 70813-0001 | 2007-05-29 |
| 1912466863 | Rikki F Bourque | Nurse Practitioner | 7777 Hennessy Blvd Ste 306, Baton Rouge, LA 70808-4365 | 2019-03-19 |
| 1699287151 | Anna Stokes | Nurse Practitioner | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2017-10-24 |
| 1396108619 | Rachael Merey Simms | Nurse Practitioner | 888 Tara Blvd, Baton Rouge, LA 70806-7818 | 2016-04-04 |
| 1457716151 | Kristy Leigh Dibble | Nurse Practitioner | 4560 North Blvd, Suite 108, Baton Rouge, LA 70806-4043 | 2015-12-22 |
| 1588051296 | Emily Mcmann | Nurse Practitioner | 8415 Goodwood Blvd Ste 200, Baton Rouge, LA 70806 | 2015-04-20 |
| 1801289624 | Theresa Escude' Robert | Nurse Practitioner | 7278 Highland Rd, Suite B, Baton Rouge, LA 70808-6600 | 2015-03-18 |
| 1700279841 | Emily Jewell | Nurse Practitioner | 7373 Perkins Rd, Baton Rouge, LA 70808-4326 | 2015-03-13 |
| 1639560519 | Katherine Montgomery Helo | Nurse Practitioner | 7777 Hennessy Blvd, Suite 312, Baton Rouge, LA 70808-4300 | 2015-02-12 |
| 1477950798 | Rachel Sue Stephenson | Nurse Practitioner | 888 Tara Blvd, Suite F, Baton Rouge, LA 70806-7818 | 2014-12-02 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70808 |
Please comment or provide details below to improve the information on MRS. REBECCA KNOST BOKUN.
| 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.