MR. KARL FORTENBERRY (NPI# 1518123017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518123017 |
| Entity Type | Individual |
| Full Name | MR. KARL FORTENBERRY |
| Credential | RRT |
| Practice Address |
510 E Stoner Ave Shreveport LA 71101-4243 |
| Practice Telephone | 3182218411 |
| Mailing Telephone | 3182218411 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 227800000X | Respiratory Therapist, Certified | CRT.LT3210 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
510 E STONER AVE |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427056456 | Philip Assaad Haddad | Internal Medicine | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2005-07-13 |
| 1124627344 | Tiffany Knesha Williams | Social Worker | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-10-19 |
| 1255938882 | Michael Phillip Parrott | Registered Nurse | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-10-06 |
| 1013524222 | Brittany Hawkins | Dietitian, Registered | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-09-30 |
| 1598376873 | Martha Stevens | Dietitian, Registered | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-08-11 |
| 1609491844 | Kenneth Charles Sweatman Jr. | Registered Nurse | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-06-13 |
| 1528682663 | Ashley Nicole Denbrock | Registered Nurse | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-06-04 |
| 1154941227 | Angel Escobedo | Registered Nurse | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2020-04-19 |
| 1679116784 | Allisyn Steele | Registered Nurse | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2019-10-21 |
| 1811530926 | Comis Waddell | Registered Nurse | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2019-10-21 |
| Find all providers in the same location | ||||
| 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 Code | 227800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Respiratory Therapist, Certified |
| A Certified Respiratory Therapist (CRT) is a an entry level therapist who has passed a standardized written examination administered by the National Board for Respiratory Care (NBRC). CRTs provide diagnostic testing, therapeutics, monitoring, rehabilitation, and education to patients with disorders of the cardiopulmonary system. They provide these respiratory care services in all health care facilities and in the home. A CRT is a graduate of an associate degree program approved by the Commission on Accreditation of Allied Health Educational Programs (CAAHEP) and where applicable, is licensed by the state and is practicing within the scope of the license. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114183621 | Mary Ann Morris | Respiratory Therapist, Certified | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2008-08-04 |
| 1154587681 | Darhonda Vaughn | Respiratory Therapist, Certified | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2008-08-04 |
| 1720244213 | Amanda Bolanos | Respiratory Therapist, Certified | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2008-08-04 |
| 1598921009 | Kimberly Ward | Respiratory Therapist, Certified | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2008-08-04 |
| 1124284781 | Alfred Kisner | Respiratory Therapist, Certified | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2008-08-04 |
| 1457517997 | Valerie George | Respiratory Therapist, Certified | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2008-08-04 |
| 1851475156 | Timothy W Gilmore | Respiratory Therapist, Certified | 1501 Kings Hwy, Lsuhsc Faculty Rehab Clinic, Shreveport, LA 71103-4228 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972990109 | Melissa Bynes Brooks | Respiratory Therapist, Certified | Brooks Home Sleep Studies LLC, Ulm, Stubbs Hall 203, 700 University Ave., Monroe, LA 71209-6435 | 2015-04-27 |
| 1609296524 | Lashayla Harris | Respiratory Therapist, Certified | 410 Charlotte Dr, Patterson, LA 70392-4146 | 2014-04-17 |
| 1346531852 | Deridder Medical Equipment Supply | Respiratory Therapist, Certified | 709 Mahlon St, Deridder, LA 70634-4221 | 2011-05-02 |
| 1609474360 | Chantez Shanice Ashley | Respiratory Therapist, Certified | 501 Keyser Ave, Natchitoches, LA 71457-6018 | 2020-10-15 |
| 1013418078 | Darla Bridges | Respiratory Therapist, Certified | 16874 Highway 43, Greensburg, LA 70441-4834 | 2018-02-26 |
| 1306196969 | Kevin L. Buckels | Respiratory Therapist, Certified | 2647 S. St Elizabeth Blvd, Gonzales, LA 70737 | 2012-09-11 |
| 1083798177 | Glenn Jospeh Brousseaur | Respiratory Therapist, Certified | 1601 Perdido St, New Orleans, LA 70112-1262 | 2006-10-25 |
| City | SHREVEPORT |
| Zip Code | 71101 |
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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.