Kathalina Vershelle Lacoste, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

114591 Issued in GA

Practice address

5049 Highland Hills Pkwy
Stone Mountain, GA 30088-3740

Phone

(678) 777-5995

NPI assigned

Mar 27, 2007

Last updated

Oct 5, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12175/brand/1/csg/1/fhir/r4

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.

• Creative Hospice Care Inc

  dba Eternal Faith Hospice and Palliative Care

  • Clinic/Center
  • Bogart, GA
  • NPI 1437897956
  Medicare reassignment NPD
• Homestead Hospice of Lawrencesville, LLC

  dba Eternal Faith Palliative and Hospice Care

  • Clinic/Center
  • Carrollton, GA
  • NPI 1336864875
  Medicare reassignment NPD
• Wellbe Senior Medical Group of Georgia, P. C.

  dba WellBe Senior Medical

  • Internal Medicine Physician
  • Sandy Springs, GA
  • NPI 1205463163
  Medicare reassignment NPD
• Community Care Health Network LLC

  dba Matrix Medical Network

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  GA

  Medicare reassignment NPD
• Homestead Hospice of Cartersville, LLC

  dba Eternal Faith Hospice and Palliative Care

  • Clinic/Center
  • Cartersville, GA
  • NPI 1538807953
  NPD
• Creative Hospice Care, Inc

  dba Eternal Faith Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Bogart, GA
  • NPI 1326330010
  NPD (past)
• J & S Healthcare Associates, P.C.

  • Family Medicine Physician
  • Smyrna, GA
  • NPI 1174533921
  NPD (past)
• Joseph Hannan M.D.

  • Skilled Nursing Facility
  • Roswell, GA
  • NPI 1194887893
  NPD (past)
• Lanier Hospice LLC

  dba Georgia Hospice Care

  • Community Based Hospice Care Agency
  • Lawrenceville, GA
  • NPI 1184123341
  NPD (past)
• Mumtaz Mumtaz Inc

  dba Alpharetta Roswell Family Practice

  • Family Medicine Physician
  • Roswell, GA
  • NPI 1982783304
  NPD (past)
• Traditions Hospice of Lawrenceville, LLC

  dba Eternal Faith Hospice and Palliative Care

  • Community Based Hospice Care Agency
  • Carrollton, GA
  • NPI 1952549412
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286236800000",
    "number": "1255459335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5049 HIGHLAND HILLS PKWY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300883740",
            "telephone_number": "678-777-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5049 HIGHLAND HILLS PKWY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300883740",
            "telephone_number": "678-777-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACOSTE",
        "first_name": "KATHALINA",
        "middle_name": "VERSHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "114591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Soraia Kunihiro, PTA
• L G D Psychological Services, LLC
• Lady C Services LLC.
• Toyea Laing
• Tabatha Nikita Lane
• Snezhana Lasiy, RN
• Latechia Hogue

• Family Nurse Practitioner in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.