KIMBERLY EXTINE NP – NPI #1851525687
Nurse Practitioner
KIMBERLY EXTINE is a nurse practitioner located in MONROE, LA. NPPES has assigned the NPI number 1851525687 to KIMBERLY EXTINE on May 07, 2009. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 363LF0000X from the Health Care Provider Taxonomy code set, which is classified as Nurse Practitioner, specializing in Family
The NPI profile was previously updated about 7 years ago on Sep 19, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KIMBERLY EXTINE below.
NPI Profile for
KIMBERLY EXTINE
(more than 17 years ago)
MONROE, LA 71201 Phone: (318) 807-4746 Fax: (318) 812-6034
2 Other location(s):
Monroe, LA 71201
Phone: (318) 807-4746
Fax: (318) 812-6034
Suite #B
Winchester, TN 37398-2470
Phone: (931) 968-1232
MONROE, LA 71201-7363 Phone: (318) 807-7875 Fax: (318) 812-6603
Identifiers for KIMBERLY EXTINE
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | LA | 2486055 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 363LF0000X - Nurse Practitioner / Family (Primary) |
LA | 201192 |
| 363L00000X - Nurse Practitioner |
LA | 201192 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.