MR. KERRY L WEST (NPI# 1659483907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659483907 |
Entity Type | Individual |
Full Name | MR. KERRY L WEST |
Credential | NP |
Practice Address |
2495 Shreveport Highway Va Medical Pineville LA 71306-9004 |
Mailing Address |
8215 Highway 71 S Lecompte LA 71346-4704 |
Practice Telephone | 3184730010 |
Mailing Telephone | 3184731964 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2013-09-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN68676APO4120 | LA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
LA | 1143715 | 05 | |
LA | MEDICARE-PTAN | 4C428 | 01 |
Street Address |
2495 SHREVEPORT HIGHWAY VA MEDICAL |
City | PINEVILLE |
State | LA |
Zip Code | 71306-9004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023367810 | Terese Andrea Andino | Dentist | 2495 Shreveport Highway, Pineville, LA 71360 | 2012-09-07 |
1629150180 | David Carroll Young | Pathology | 2495 Shreveport Highway, Alexandria Va Medical Center, Pineville, LA 71360 | 2006-10-20 |
1154417939 | Alton Brent Campbell | Registered Nurse | 2495 Shreveport Highway, Pineville, LA 71306 | 2006-10-05 |
1679685259 | Edib Korkut | Internal Medicine | 2495 Shreveport Highway, Pineville, IA 71306 | 2006-08-31 |
1043324957 | John Robert Hughes Sr. | Nurse Practitioner | 2495 Shreveport Highway, Pineville, LA 71301 | 2006-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306023395 | Mary E Severance | Licensed Practical Nurse | 242 Shamrock St, Red River Addictions Complex, Pineville, LA 71306 | 2008-01-22 |
1699951020 | Amany Youssef Hegazy | Pharmacist | Pineville, Alexandria, LA 71306 | 2008-01-16 |
1083718159 | Vicky Dianne Wall | Nurse Practitioner | Dept. of Veterans Affairs Medical Center, Shreveport Hwy, Alexandria, LA 71306 | 2006-09-11 |
1346343621 | Kathy Ann Brieger | Licensed Practical Nurse | Unit 6, Meadow Lane, Rrtc Central State Hospital, Pineville, LA 71306 | 2006-09-05 |
1760585046 | Shabbir F Khambatti | Internal Medicine | Veteran Adm Medical Center, Medical Service, Alexandria, LA 71306 | 2006-09-05 |
1790759660 | Frankie V Carver | Nurse Practitioner | 2495 Hwy 71, Va Medical Center, Alexandria, LA 71306 | 2006-02-15 |
1154569333 | Jean Marie Ordoyne | Social Worker | 2495 Shreveport Hwy 71 North, Alexandria, LA 71306 | 2009-01-27 |
1588800585 | Stacy Susanne Nolan | Social Worker | 2495 Shreveport Hwy 71 North, Alexandria, LA 71306 | 2008-12-22 |
1578659983 | Julie C Baker | Physical Therapist | 2495 Shreveport Hwy, Pineville, LA 71306 | 2006-10-04 |
1518073410 | Kenneth Ray Harper | Ophthalmology | Va Medical Center, 2495 Shreveport Highway, Alexandria, LA 71306 | 2006-08-22 |
Find all providers in zip 71306 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033728035 | Samantha Hickman | Nurse Practitioner | 448 Willie Clark Rd, Pineville, LA 71360-7136 | 2020-07-26 |
1942822788 | Divia L. Smith | Nurse Practitioner | 11611 Stockdale Ct, Pineville, NC 28134-6422 | 2020-05-14 |
1477184331 | James Lee Williams | Nurse Practitioner | 251 S Pine St # 606337, Pineville, KY 40977-1646 | 2020-01-30 |
1396303145 | Tina Marie Lawhorn | Nurse Practitioner | 2945 Shreveport Hwy, Pineville, LA 71360 | 2019-06-05 |
1649755497 | Jessica Wooten | Nurse Practitioner | 292 Jerry Lofton Rd, Pineville, LA 71360 | 2018-09-27 |
1861988537 | Gayle Elliott | Nurse Practitioner | 308 Griffith St, Pineville, LA 71360-5270 | 2018-07-06 |
1033600416 | Southeast Family Practice Psc | Nurse Practitioner | 12904 Robert L Madon Byp Ste 2, Pineville, KY 40977 | 2018-05-22 |
1679023311 | Trent Hines | Nurse Practitioner | 204 Chloe Rd, Pineville, LA 71360-5858 | 2016-10-05 |
1720335631 | Tammy Marie Roton | Nurse Practitioner | 1135 Expressway Dr Ste 200a, Pineville, LA 71360-6653 | 2012-08-09 |
1164729919 | Nyoka S. Dunbar | Nurse Practitioner | 12130 Monkstown Dr, Pineville, NC 28134-7340 | 2011-02-14 |
Find all providers in PINEVILLE |
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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.