Healthcare Provider Details
I. General information
NPI: 1225606676
Provider Name (Legal Business Name): LA'KEISHA R JAMES MSN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/13/2021
Last Update Date: 06/13/2021
Certification Date: 06/13/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
814 PERRYMAN RD
LOUISVILLE KY
40207-7022
US
IV. Provider business mailing address
814 PERRYMAN RD
LOUISVILLE KY
40207-7022
US
V. Phone/Fax
- Phone: 770-309-8604
- Fax:
- Phone: 770-309-8604
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SC1501X |
| Taxonomy | Community Health/Public Health Clinical Nurse Specialist |
| License Number | 102932 |
| License Number State | KY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 364SL0600X |
| Taxonomy | Long-Term Care Clinical Nurse Specialist |
| License Number | 102932 |
| License Number State | KY |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376K00000X |
| Taxonomy | Nurse's Aide |
| License Number | 102932 |
| License Number State | KY |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WA2000X |
| Taxonomy | Administrator Registered Nurse |
| License Number | 102932 |
| License Number State | KY |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WC1600X |
| Taxonomy | Continuing Education/Staff Development Registered Nurse |
| License Number | 102932 |
| License Number State | KY |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WC3500X |
| Taxonomy | Cardiac Rehabilitation Registered Nurse |
| License Number | 102932 |
| License Number State | KY |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WG0000X |
| Taxonomy | General Practice Registered Nurse |
| License Number | 102932 |
| License Number State | KY |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WG0600X |
| Taxonomy | Gerontology Registered Nurse |
| License Number | 102932 |
| License Number State | KY |
| # 9 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WH1000X |
| Taxonomy | Hospice Registered Nurse |
| License Number | 102932 |
| License Number State | KY |
| # 10 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WI0600X |
| Taxonomy | Infection Control Registered Nurse |
| License Number | 102932 |
| License Number State | KY |
| # 11 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WP0000X |
| Taxonomy | Pain Management Registered Nurse |
| License Number | 102932 |
| License Number State | KY |
| # 12 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WW0000X |
| Taxonomy | Wound Care Registered Nurse |
| License Number | 102932 |
| License Number State | KY |
| # 13 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171W00000X |
| Taxonomy | Contractor |
| License Number | 102932 |
| License Number State | KY |
| # 14 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 405300000X |
| Taxonomy | Prevention Professional |
| License Number | 102932 |
| License Number State | KY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone:
