KATHALINA VERSHELLE LACOSTE NP NPI 1255459335

NPI Information

NPI: 1255459335
Provider Name: KATHALINA VERSHELLE LACOSTE, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
5049 HIGHLAND HILLS PKWY
STONE MOUNTAIN, GA
ZIP 30088
Phone: (678) 777-5995
Get Directions

Kathalina Vershelle Lacoste, NP is a family nurse practitioner in Stone Mountain, GA. Kathalina Vershelle Lacoste, NP NPI is 1255459335. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5049 HIGHLAND HILLS PKWY
STONE MOUNTAIN, GA
ZIP 30088-740
Phone: (678) 777-5995

The NPI 1255459335 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 10/5/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	114591	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	50BBGNH	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	MEDICARE PROVIDER NUMBER
2	50BBKHH	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	MEDICARE PROVIDER NUMBER
3	S66724	MEDICARE UPIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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