Kimberly Colston

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KIMBERLY COLSTON

Practice address

108 Constitution Dr
Alexandria, LA 71303-3521

Phone

(318) 704-0640

Fax

(318) 704-0642

NPI assigned

May 25, 2021

Organization subpart

No

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

Authorized official

Name

Kimberly Colston, PMHNP-BCNPI 1730687138

Title

Owner

Phone

(318) 704-0640

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Wall Colston, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Alexandria, LA
  • NPI 1730687138
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657065600000",
    "number": "1750956348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 CONSTITUTION DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033521",
            "telephone_number": "318-704-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 CONSTITUTION DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713033521",
            "telephone_number": "318-704-0640",
            "fax_number": "318-704-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY COLSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A",
        "authorized_official_last_name": "COLSTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-704-0640",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neik Khansari
• Rana Khazendar, MD
• Ian Dexter Kho, PT
• Kid Kare Inc
• Kid's Dental Zone Alexandria LLC
• Shayne Kimble, M.C.D. CF-SLP
• King Billing and Collection
• Charles King, PH.D. LAC
• Chelsi King, PHD
• David Scott King, CRNA

• Psychiatric/Mental Health Nurse Practitioner in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.