Kimberly P. Harding, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA9105975 Issued in FL

Practice address

4212 W Congress St Ste 3100
Lafayette, LA 70506-6771

Phone

(337) 703-3201

Fax

(337) 703-3202

NPI assigned

May 10, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kimberly P Hollier Former name

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Opelousas General Health System Physician PracticesGroup PAC ID 9830340694, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Opelousas General Health System Hospital, Opelousas, LA, CCN 190017

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Opelousas General Health System Physician Practices

  • Family Medicine Physician
  • Opelousas, LA
  • NPI 1295098747
  Medicare reassignment Care Compare group
• Lafayette Health Ventures Inc

  • Family Medicine Physician
  • Lafayette, LA
  • NPI 1417986092
  Medicare reassignment
• Lafayette Health Ventures Inc

  • Anesthesiology Physician
  • Jennings, LA
  • NPI 1063124568
  NPD
• Lafayette Health Ventures Inc.

  • Internal Medicine Physician
  • Lafayette, LA
  • NPI 1831780394
  NPD
• Opelousas General Health System

  • Surgery Physician
  • Opelousas, LA
  • NPI 1053317016
  NPD
• Opelousas General Health System

  • Surgery Physician
  • Opelousas, LA
  • NPI 1275794679
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Opelousas General Hospital Authority

  • General Acute Care Hospital
  • Opelousas, LA
  • NPI 1447230388
  Care Compare affiliation

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

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1174815054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919229",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753919229",
            "telephone_number": "337-289-8944",
            "fax_number": "337-571-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4212 W CONGRESS ST STE 3100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066771",
            "telephone_number": "337-703-3201",
            "fax_number": "337-703-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDING",
        "first_name": "KIMBERLY",
        "middle_name": "P.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-10",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "9105975",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9105975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HOLLIER",
            "middle_name": "P",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tamim Haq, DDS
• Mehandi Haran, M.D.
• Harbinger Medical Group, LLC
• Wesley N Harbison, RPH
• Kim Anthony Hardey, MD
• Allison Hayes Hardy, RN
• Kevin Hardy
• Melissa Amman Hardy, LCSW
• Timmakah Hardy
• Jamie Primeaux Hare, LCSW

• Surgical Physician Assistant in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Surgical Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.