Individual provider Active NPI

Kimberly Rials, FNP-C

  • Family Nurse Practitioner
  • Zwolle, LA
National Provider Identifier
1861841884
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
08824 Issued in LA
Practice address
2026 Obrie St
Zwolle, LA 71486-3263
Phone
(318) 645-6013
Fax
(318) 645-6026
NPI assigned
Jun 9, 2016
Last updated
May 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 08824 LA Primary

Addresses

Primary practice location

2026 Obrie St
Zwolle, LA 71486-3263

Mailing address

207 Jefferson St
Mansfield, LA 71052-2603
Phone (318) 872-4610

Other practice location 1

210 Highland Dr
Many, LA 71449-3718
Phone (318) 256-5722

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161012002142 LA Practitioner - Nurse Practitioner 5395033088 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
08824LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Desoto Regional Family Medicine CurrentSince Jan 25, 2017 Accepting new patients
Desoto Hospital Association CurrentSince Feb 1, 2017 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Jan 28, 2019 Accepting new patients
Desoto Hospital Association Current Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Jan 28, 2019 Accepting new patients
Nes Louisiana Inc CurrentSince Jan 20, 2018 Accepting new patients
Nes Louisiana Inc CurrentSince Jan 20, 2018 Accepting new patients
Desoto Hospital Association CurrentSince Feb 1, 2017 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Sep 1, 2019 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Sep 1, 2019 Accepting new patients
Desoto Hospital Association CurrentSince Jan 25, 2017 Accepting new patients
Desoto Hospital Association PastSince May 10, 2020 Accepting new patients

Locations

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

130 Jefferson St
Mansfield, LA 71052
Phone (318) 872-2700

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166

1429 Beglis Pkwy
Sulphur, LA 70663
Phone (337) 528-8000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEDHAA
  • Direct secure messaging: kimberly.sepulvado@drfmc.eclinicaldirectplus.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1861841884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 JEFFERSON ST",
            "city": "MANSFIELD",
            "state": "LA",
            "postal_code": "710522603",
            "telephone_number": "318-872-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 OBRIE ST",
            "city": "ZWOLLE",
            "state": "LA",
            "postal_code": "714863263",
            "telephone_number": "318-645-6013",
            "fax_number": "318-645-6026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Highland Dr",
            "address_purpose": "LOCATION",
            "city": "Many",
            "state": "LA",
            "postal_code": "714493718",
            "country_code": "US",
            "telephone_number": "318-256-5722",
            "fax_number": "318-256-5774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIALS",
        "first_name": "KIMBERLY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "08824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zwolle, LA

Sources for this page

Verify at the official NPI Registry.