Kristy Leigh Dibble, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP05714 Issued in LA

Practice address

4560 North Blvd
Suite 108
Baton Rouge, LA 70806-4043

Phone

(225) 928-0695

Fax

(225) 341-5903

NPI assigned

Dec 22, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1450742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1457716151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 NORTH BLVD",
            "address_2": "SUITE 250",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064013",
            "telephone_number": "225-926-1269",
            "fax_number": "225-927-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 NORTH BLVD",
            "address_2": "SUITE 108",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708064043",
            "telephone_number": "225-928-0695",
            "fax_number": "225-341-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBBLE",
        "first_name": "KRISTY",
        "middle_name": "LEIGH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-22",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "AP05714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diagnostic Radiology Consultants, LLP
• Daniel Irwin Dial, M.D.
• Keriel Dial
• Micaela Diaz, LMSW
• Richie Rose Tulagan Diaz, MD
• Kala D Dibenedetto, SLP
• Kevin Dibenedetto, M.D.
• Vincent Dicarlo II, DDS
• Juliette Dicharia
• Amanda Dick, M.A.CCC-SLP

• Pediatric Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Pediatric Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.