KRISTEN MCCOY KEENER (NPI# 1417479262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417479262 |
| Entity Type | Individual |
| Full Name | KRISTEN MCCOY KEENER |
| Credential | AG-ACNP |
| Practice Address |
2600 Greenwood Rd Shreveport LA 71103-3908 |
| Mailing Address |
1700 Joy Dr Bossier City LA 71112-2726 |
| Practice Telephone | 3162124000 |
| Mailing Telephone | 3185477720 |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP09405 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2727 Hearne Ave, Shreveport, LA 711033917 | 3186316400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396233706 | Kristen Marie Keener | Case Manager/Care Coordinator | 1771 Old Palmer Rd Nw, Washington Court House, OH 43160-9084 | 2018-05-01 |
| 1164786158 | Kristen D Keener | Audiologist | 711 W 38th St, Suite B14, Austin, TX 78705-1121 | 2012-06-25 |
| Street Address |
2600 GREENWOOD RD |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71103-3908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972508307 | Mary Cecola | Nurse Anesthetist, Certified Registered | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2005-06-13 |
| 1427675701 | Lakyn Paige Smith | Nurse Practitioner | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2020-07-02 |
| 1730645201 | Willis Knighton Medical Center, Inc. | Clinic/Center | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2019-02-20 |
| 1013497114 | Cross Lake Emergency Group, LLC | Physician Assistant | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2018-08-17 |
| 1689110538 | Penny Lynn Ford | Nurse Anesthetist, Certified Registered | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2017-01-17 |
| 1427508456 | Edward Glenn Bernatowicz | Pharmacist | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2016-10-13 |
| 1306237391 | Christina Maxwell | Nurse Anesthetist, Certified Registered | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2015-02-11 |
| 1467841270 | Houston Lacobee | Nurse Anesthetist, Certified Registered | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2015-01-16 |
| 1740688415 | Ana Costea | Emergency Medicine | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2014-12-12 |
| 1801205802 | Wkmc Cardiovascular Consultants | Internal Medicine | 2600 Greenwood Rd, Shreveport, LA 71103-3908 | 2014-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083124887 | Elizabeth Ponder | Case Manager/Care Coordinator | 404 Hearne Avenue, Shreveport, LA 71103 | 2017-10-05 |
| 1245648393 | Madiha Tariq | General Acute Care Hospital | Rheumatology Clinic, 1501 Kings Hwy, Sheveport, LA 71103 | 2014-07-31 |
| 1659782688 | Jennifer G Smith | Pharmacist | 1725 Claiborne Ave, Shreveport, LA 71103 | 2014-05-13 |
| 1336568823 | Taylor Jieun Jung | Student in an Organized Health Care Education/Training Program | Lsu Health Sciences Center 1501 Kings Highway, Department of Oral & Maxillofacial Surgery Room 530, Shreveport, LA 71103 | 2014-04-10 |
| 1578984746 | Jamie Terrell | Pharmacist | 1625 Claiborne Ave, Shreveport, LA 71103 | 2013-12-13 |
| 1346675188 | Srijan Tandukar | Internal Medicine | 2751 Albert L Bicknell Dr Ste 2b, Shreveport, LA 71103 | 2013-09-12 |
| 1699017681 | Deanna Elise Mossallati | Internal Medicine | 8551 Greenwood Rd, Suite 410, Shreveport, LA 71103 | 2013-03-18 |
| 1346527330 | Tim M Smith | Clinical Exercise Physiologist | 3200 Greenwood Rd., Shreveport, LA 71103 | 2011-11-04 |
| 1144451683 | Second Chance Recovery | Durable Medical Equipment & Medical Supplies | 3816 Linwood, Shreveport, LA 71103 | 2009-07-31 |
| 1093919920 | Neeraj Singh | Internal Medicine | 2751 Albert L Bicknell Dr Fl 4, Shreveport, LA 71103 | 2007-06-13 |
| Find all providers in zip 71103 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518508282 | Whitney Jackson | Nurse Practitioner | 1549 E 70th St Ste 300, Shreveport, LA 71105-5056 | 2019-10-03 |
| 1407322209 | Tiffany Michelle Williams | Nurse Practitioner | 7551 Youree Dr, Shreveport, LA 71105-5533 | 2018-10-18 |
| 1801334453 | Katoya Johnson | Nurse Practitioner | 1005 Quail Creek Rd Apt A, Shreveport, LA 71105-2310 | 2017-02-03 |
| 1023565298 | Primary Care At Home of Louisiana, LLC | Nurse Practitioner | 6425 Youree Dr Ste 290, One Bellemead Center, Shreveport, LA 71105-4634 | 2016-09-06 |
| 1457546095 | Julia B Henry | Nurse Practitioner | 2751 Albert L Bicknell Dr Ste 2d, Shreveport, LA 71103-3939 | 2007-09-06 |
| 1588867485 | Donna Rogers Hewitt | Nurse Practitioner | 1800 E 70th St, Shreveport, LA 71105-5338 | 2007-06-07 |
| 1134215361 | Angela Birdsong Fellows | Nurse Practitioner | 1666 E Bert Koun Loop, Shreveport, LA 71105-5714 | 2006-10-05 |
| 1942220959 | Tammy Rene Bennett | Nurse Practitioner | 1525 Fairfield Ave Ste 569, Office of Public Health, Shreveport, LA 71101-4331 | 2006-07-20 |
| 1134149859 | John Charles Charity | Nurse Practitioner | 503 Broadmoor Blvd, Shreveport, LA 71105-2023 | 2006-07-19 |
| 1144829540 | Jenna Nicole Blundell | Nurse Practitioner | 1811 E Bert Kouns Industrial Loop Ste 210, Shreveport, LA 71105-5740 | 2020-10-19 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71103 |
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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.