Kimberly Mayo Pool, NP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

213733 Issued in LA

Practice address

1232 Sheppard St
Minden, LA 71055-3460

Phone

(318) 377-7116

Fax

(318) 377-9979

NPI assigned

Jul 15, 2020

Last updated

Jul 15, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HIBHBD/Endpoint/HIBHBD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Plus Medical of Ruston LLC

  dba Michael Brooks Family Clinic

  • Family Medicine Physician
  • Ruston, LA
  • NPI 1245708718

  Single Specialty

  NPD (past)
• A Plus Medical of Ruston LLC

  dba Michael Brooks Family Clinic

  • Rural Health Clinic/Center
  • Ruston, LA
  • NPI 1518459700
  NPD (past)
• Dr Michael J. Ulich Pediatrics, LLC

  dba Minden Pediatrics

  • Pediatrics Physician
  • Minden, LA
  • NPI 1427111236

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1144838160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "183 WELL SPRING RD",
            "city": "CALHOUN",
            "state": "LA",
            "postal_code": "712258540",
            "telephone_number": "318-235-8571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 SHEPPARD ST",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553460",
            "telephone_number": "318-377-7116",
            "fax_number": "318-377-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOL",
        "first_name": "KIMBERLY",
        "middle_name": "MAYO",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "213733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimjustin@bellsouth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1232 Sheppard St",
            "city": "Minden",
            "state": "LA",
            "country_code": "US",
            "postal_code": "710553460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph A Pineda, M.D.
• Pink Pratique
• Michael Pistorius, M.D.
• Michelle Antoinette Pittman, MD
• Herbert Charles Poarch, NURSE PRACTITIONER
• Danielle Lashay Potter, APRN, IBCLC, CPNP-PC
• Gregory David Powell, CRNA
• Premier Family Clinic
• Primestar Home Health of Nwla Inc
• Justin Levi Procell, DDS

• Pediatrics Physician in Minden, LA
• Providers in Minden, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.