KIM ALLEN (NPI# 1891821153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891821153 |
| Entity Type | Individual |
| Full Name | KIM ALLEN |
| Credential | NP |
| Practice Address |
1 Saint Mary Pl Shreveport LA 71101-4343 |
| Practice Telephone | 3186814500 |
| Practice Fax Number | 3186817402 |
| Mailing Telephone | 3186814500 |
| Mailing Fax Number | 3186817402 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2009-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
AP03711 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | ADVANCED PRACTICE LIC | AP03711 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235444381 | Kim Dutro Allen | Speech-Language Pathologist | 328 Pumpkin Run Rd, Purlear, NC 28665-9203 | 2010-08-13 |
| 1790771186 | Kim Allen | Pharmacist | 2001 4th Ave, Sharp Rees Stealy Pharmacy, San Diego, CA 92101-2303 | 2005-09-21 |
| 1861099103 | Kim Allen | Speech-Language Pathologist | 501 College St, Lafayette, TN 37083-1706 | 2020-10-08 |
| 1275097743 | Kim Allen | Dietitian, Registered | 3900 Washington Ave, Evansville, IN 47714-0550 | 2019-01-29 |
| 1619406378 | Kim Allen | Technician | 8140 Sunland Blvd, Sun Valley, CA 91352-3948 | 2017-06-07 |
| 1356580484 | Kim Allen | Speech-Language Pathologist | 1200 N Beaver St, Flagstaff, AZ 86001-3118 | 2009-02-12 |
| 1154598217 | Kim Allen | Licensed Practical Nurse | 2250 Hickory Rd, Plymouth Meeting, PA 19462-1047 | 2008-05-08 |
| 1912047150 | Kim Ann Allen | Case Manager/Care Coordinator | 720 Wood St, Eureka, CA 95501-4413 | 2007-02-07 |
| Street Address |
1 SAINT MARY PL |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71101-4343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447254198 | Walter E Bounds | Emergency Medicine | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2005-06-10 |
| 1083085005 | Valient Emergency Physicians, LLC | Physician Assistant | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2015-10-16 |
| 1356712509 | Sahara Emergency Physicians, LLC | Physician Assistant | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2015-10-14 |
| 1164807723 | Amy Hollis Norcross | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2015-07-24 |
| 1114270261 | Ghassan Fouad Hamdan | Pharmacist | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2012-10-25 |
| 1730466053 | Michelle Moore Haynie | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2011-11-15 |
| 1104142769 | Laura Christine Brooks | Nurse Practitioner | 1 Saint Mary Pl, Nicu, Shreveport, LA 71101-4343 | 2010-04-07 |
| 1154656494 | Paul Wesley Chism | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2009-10-05 |
| 1902030273 | Shannon Leonnie Youngblood | Nurse Anesthetist, Certified Registered | 1 Saint Mary Pl, Pfs-pro Billing, Shreveport, LA 71101-4343 | 2009-05-14 |
| 1467602755 | Childrens Acute Care Inc | Pediatrics | 1 Saint Mary Pl, Box 40, Shreveport, LA 71101-4343 | 2008-09-24 |
| 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 | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417367616 | Sarah Hatfield | Nurse Practitioner | 2510 Bert Kouns Industrial Loop, Shreveport, LA 71118-3119 | 2014-04-28 |
| 1932409232 | Meagan Marie Disotell | Nurse Practitioner | 1501 Kings Hwy, Department of Pediatrics (nicu), Shreveport, LA 71103-4228 | 2010-11-02 |
| 1003116682 | Kimberly J Bonts | Nurse Practitioner | 2520 Bert Kouns Loop, Suite 215, Shreveport, LA 71118-3130 | 2010-10-28 |
| 1538216502 | Hubert Debo | Nurse Practitioner | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396272084 | Cielena Houck | Nurse Practitioner | 2700napoleon Avenue, New Orleans, LA 70115-6914 | 2017-05-12 |
| 1548702863 | Laura Lynne Duhon | Nurse Practitioner | 6902 E Savannah Ln, Lake Charles, LA 70605-8151 | 2016-11-17 |
| 1275805020 | Paul Wayne Byrd | Nurse Practitioner | 303 Cranbrook Ct, Bossier City, LA 71111-2182 | 2012-02-08 |
| 1073639308 | Cynthia Kay Lagrange | Nurse Practitioner | 6809 W Calcasieu Dr, Lake Charles, LA 70605-0452 | 2007-03-21 |
| 1164579116 | Holly Joiner | Nurse Practitioner | 104 Winterpark Dr, West Monroe, LA 71292-2150 | 2007-01-04 |
| 1164433694 | Celeste Diane Perry | Nurse Practitioner | 107 Montrose Ave., Suite D, Lafayette, LA 70503 | 2006-08-10 |
| 1053918425 | Catelyn Jennifer Myers | Nurse Practitioner | 500 Rue De La Vie St Ste 405, Baton Rouge, LA 70817-5128 | 2020-10-08 |
| 1063046662 | Courtney Lynn Thomas | Nurse Practitioner | 1900 W Gauthier Rd, Lake Charles, LA 70605-7170 | 2020-02-24 |
| 1194358341 | Margaret Coleman | Nurse Practitioner | 4700 S I 10 Service Rd W, Metairie, LA 70001-1269 | 2020-02-17 |
| 1457981292 | Elyse Leigh Poole | Nurse Practitioner | 3330 Masonic Dr, Alexandria, LA 71301-3841 | 2020-01-21 |
| Find all providers with the same taxonomy | ||||
| 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.