Organization Active NPI

Rosales Children'S Clinic

  • Pediatric Nurse Practitioner
  • West Monroe, LA
National Provider Identifier
1952519639
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
RN070425 AP03721 Issued in LA
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

Updated by the provider on Jan 7, 2009

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)CodeLicenseStatePrimary
Pediatric Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.