MS. KRISTI CROCHET RABALAIS (NPI# 1689095432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689095432 |
| Entity Type | Individual |
| Full Name | MS. KRISTI CROCHET RABALAIS |
| Credential | NP |
| Practice Address |
4463 La Highway 1 S Suite A Port Allen LA 70767-5989 |
| Practice Telephone | 2254485307 |
| Practice Fax Number | 2256876669 |
| Mailing Telephone | 2254485307 |
| Mailing Fax Number | 2256876669 |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2014-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN104995AP07666 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2359690 | 05 |
| Street Address |
4463 LA HIGHWAY 1 S SUITE A |
| City | PORT ALLEN |
| State | LA |
| Zip Code | 70767-5989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164612479 | Bobby James Dupre | Internal Medicine | 4463 La Highway 1 S, Suite A, Port Allen, LA 70767-5989 | 2007-08-01 |
| 1942524970 | Michael Paul Ramagos | Family Medicine | 4463 La Highway 1 S, Suite A, Port Allen, LA 70767-5989 | 2010-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386255701 | Empowerment Consultants, LLC | Counselor | 3680 La- 1 South, Port Allen, LA 70767 | 2020-08-10 |
| 1700400934 | Just Health | Clinic/Center | 3975 Rosedale Rd, Port Allen, LA 70767 | 2020-06-03 |
| 1770141756 | Tarshea Joy Williams | Licensed Practical Nurse | 2306 Larguier Lane, Port Allen, LA 70767 | 2019-06-04 |
| 1295264638 | Victoria Williams | Counselor | 6010 Horner Road, Port Allen, LA 70767 | 2017-06-08 |
| 1588015531 | Advantage Dental Care, Dr. Louis L Mason Dds LLC | Dentist | 260 S. Alexander Ave, Port Allen, LA 70767 | 2016-06-30 |
| 1184913493 | Joshua Rai Clark | Family Medicine | 4463 La Highway 1 South, Suite A, Port Allen, LA 70767 | 2011-04-07 |
| 1831386358 | Port City Enterprises, Inc. | Respite Care | 836 N. Seventh St, Port Allen, LA 70767 | 2007-09-28 |
| 1518153139 | Trinity Behavioral Health of Port Allen | Preferred Provider Organization | 2753 Court Street, Unit C, Port Allen, LA 70767 | 2007-09-18 |
| 1912198219 | Arnette Scavella | Pediatrics | 3515 Highway 1 South, Port Allen, LA 70767 | 2007-08-05 |
| 1881814150 | Port City Enterprises, Inc. | Respite Care | 836 N 7th St, Port Allen, LA 70767 | 2007-04-27 |
| Find all providers in zip 70767 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457625121 | Mica F Sood | Nurse Practitioner | 203 Allendale Dr, Port Allen, LA 70767 | 2012-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138473 | Nickolas Matthews | Nurse Practitioner | 1307 Crowley Rayne Hwy Ste B, Crowley, LA 70526-8210 | 2020-09-14 |
| 1841809258 | Brandi Schwab | Nurse Practitioner | 157 Belington Ave, Madisonville, LA 70447-9109 | 2020-07-31 |
| 1780293878 | Cornerstone Childrens Clinic LLC | Nurse Practitioner | 44546 S Airport Rd Ste F, Hammond, LA 70403-0312 | 2020-07-24 |
| 1629691530 | Bayou Pediatrics | Nurse Practitioner | 2649 Arkansas Rd, West Monroe, LA 71291-8617 | 2020-05-27 |
| 1295376374 | Tatjana Michele Mimes | Nurse Practitioner | 3975 I 49 S Service Rd Ste 201, Opelousas, LA 70570-0775 | 2019-09-30 |
| 1063067411 | Arwa Mohammed Mohammed | Nurse Practitioner | 101 Medical Park Blvd Ste A, Pineville, LA 71360-8426 | 2019-08-02 |
| 1477118065 | Erin L Hurt | Nurse Practitioner | 59101 Amber St, Slidell, LA 70461-3708 | 2019-05-08 |
| 1033679501 | Laura Elizabeth Williamson | Nurse Practitioner | 501 Medical Center Dr Ste 100, Alexandria, LA 71301-8124 | 2019-03-21 |
| 1043703010 | Samantha Lee Lovecchio | Nurse Practitioner | 120 Ochsner Blvd Ste 245, Gretna, LA 70056-5280 | 2018-06-13 |
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| Find all providers with the same taxonomy | ||||
| City | PORT ALLEN |
| Zip Code | 70767 |
Please comment or provide details below to improve the information on MS. KRISTI CROCHET RABALAIS.
| 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.