Active NPI
Rosales Children'S Clinic
- Pediatric Nurse Practitioner
- West Monroe, LA
National Provider Identifier
1952519639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- RN070425 AP03721
- Legal business name
- ROSALES CHILDREN'S CLINIC
- Practice address
- 104 Contempo Ave
West Monroe, LA 71291-7366 - Phone
- (318) 338-3585
- Fax
- (318) 338-3588
- NPI assigned
- May 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kimberli D Shows
- Title
- Office Manager
- Phone
- (318) 338-3585
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | RN070425 AP03721 | LA | Primary |
Addresses
Primary practice location
104 Contempo Ave
West Monroe, LA 71291-7366
Mailing address
104 Contempo Ave
West Monroe, LA 71291-5312
Phone (318) 807-1360
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231286400000",
"number": "1952519639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 CONTEMPO AVE",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712915312",
"telephone_number": "318-807-1360",
"fax_number": "318-807-1364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 CONTEMPO AVE",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712917366",
"telephone_number": "318-338-3585",
"fax_number": "318-338-3588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSALES CHILDREN'S CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-18",
"last_updated": "2009-01-07",
"status": "A",
"authorized_official_last_name": "SHOWS",
"authorized_official_first_name": "KIMBERLI",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "318-338-3585",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "LA",
"license": "RN070425 AP03721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.