KELLY CRIM (NPI# 1841838125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841838125 |
| Entity Type | Individual |
| Full Name | KELLY CRIM |
| Credential | NP |
| Practice Address |
1202 S Tyler St Covington LA 70433-2330 |
| Practice Telephone | 9858984000 |
| Mailing Telephone | 9858984000 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2020-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 214884 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363L00000X | Nurse Practitioner | 903261 | MS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | LICENSE | 214884 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750420840 | Kelly Z Crim | Counselor | 3900 S. Wadsworth Blvd Suite 360, Lakewood, CO 80235 | 2007-02-05 |
| Street Address |
1202 S TYLER ST |
| City | COVINGTON |
| State | LA |
| Zip Code | 70433-2330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475190 | Total Anesthesia Care Stph, LLC | Anesthesiology | 1202 S Tyler St, Covington, LA 70433-2330 | 2005-05-30 |
| 1578163127 | Frances Coe | Pharmacist | 1202 S Tyler St, Covington, LA 70433-2330 | 2020-10-31 |
| 1184260259 | Reghan Recile | Registered Nurse | 1202 S Tyler St, Covington, LA 70433-2330 | 2019-11-22 |
| 1144864497 | Krista Dooley Dazzo | Physician Assistant | 1202 S Tyler St, Covington, LA 70433-2330 | 2019-10-30 |
| 1205486644 | Karolina Diana Ruthner | Nurse Practitioner | 1202 S Tyler St, Covington, LA 70433-2330 | 2019-09-18 |
| 1306300264 | Kimberly F Poussard | Nurse Practitioner | 1202 S Tyler St, Covington, LA 70433-2330 | 2019-01-24 |
| 1720508534 | Terry Blais Compton | Registered Nurse | 1202 S Tyler St, Covington, LA 70433-2330 | 2017-06-22 |
| 1841730330 | Sarah Delery | Registered Nurse | 1202 S Tyler St, Covington, LA 70433-2330 | 2017-03-02 |
| 1831548445 | Peter T Braud | Family Medicine | 1202 S Tyler St, Covington, LA 70433-2330 | 2016-06-06 |
| 1609230499 | Jonathan Miller | Internal Medicine | 1202 S Tyler St, Covington, LA 70433-2330 | 2016-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790301018 | Caroline K. Wilson | Speech-Language Pathologist | 19105 Sandy Lane Suite A, Covington, LA 70433 | 2020-06-23 |
| 1568092013 | Tracy T Aljabi | Nurse Practitioner | 648 Crestwood Dr., Covington, LA 70433 | 2020-01-23 |
| 1093365462 | Maria Robert Hebrock | Marriage & Family Therapist | 71338 La-21, Suite 101, Covington, LA 70433 | 2019-09-17 |
| 1750930806 | Terry Fink Troxler | Speech-Language Pathologist | 521 Covington Point Dr, Covington, LA 70433 | 2019-09-10 |
| 1780231589 | Margaret Nordness Favre | Behavioral Analyst | 3999 Us-190, Covington, LA 70433 | 2019-08-26 |
| 1881241180 | Jennifer Ann Bacile | Counselor | 604 E 15th Street, Covington, LA 70433 | 2019-08-21 |
| 1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
| 1780153874 | Nga Endoscopy Center LLC | Clinic/Center | 7015 Hwy 190 E Service Road Suite 103, Covington, LA 70433 | 2018-11-19 |
| 1831667229 | Geauxprodme | Durable Medical Equipment & Medical Supplies | 1304 Champagne Street, Covington, LA 70433 | 2018-11-05 |
| 1376037994 | Pamela Ann Bernabo | Specialist/Technologist, Other | 80 Maison Drive, Covington, LA 70433 | 2018-06-18 |
| Find all providers in zip 70433 | ||||
| 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 |
|---|---|---|---|---|
| 1528693033 | Elizabeth Steele Forjet | Nurse Practitioner | 49 Bleu Lake Dr, Covington, LA 70435-8409 | 2020-03-04 |
| 1073143533 | Nicole Francis-freckleton | Nurse Practitioner | 13110 Greywolf Ln, Covington, GA 30014-9017 | 2020-01-23 |
| 1821637331 | Benitra Tripp | Nurse Practitioner | 75 Camerons Way, Covington, GA 30016-1163 | 2019-12-31 |
| 1730689191 | Valerie Elaine Fanning | Nurse Practitioner | 30 Rosemoore Dr, Covington, GA 30014-7065 | 2018-02-12 |
| 1508235201 | Jessica Bright Scruggs | Nurse Practitioner | 919 S Craig Ave, Suite A, Covington, VA 24426-1954 | 2015-09-23 |
| 1740678507 | Isabelle Scott | Nurse Practitioner | 45 Vilote Fern Ln, Covington, GA 30016-3800 | 2015-01-02 |
| 1407104946 | Tammy B Billings | Nurse Practitioner | 4049 Mt Carmel Rd, Covington, TN 38019-7237 | 2012-08-15 |
| 1134410871 | Billie Atwood | Nurse Practitioner | 16850 Se 272nd St Ste 100, Covington, WA 98042-4931 | 2011-04-28 |
| 1013156595 | Dionne M Stein | Nurse Practitioner | 1970 N. Hwy 190, Covington, LA 70433-5158 | 2009-02-06 |
| 1386891372 | Atnena Leann Luster | Nurse Practitioner | 201 Greenbrier Blvd, Covington, LA 70433-7236 | 2008-08-21 |
| Find all providers in COVINGTON | ||||
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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.