Kimberly Extine
NP | Nurse Practitioner | 17+ years Exp
2516 Broadmoor Blvd Ste 1d, Monroe
Louisiana, 71201
318-807-4746
Kimberly Extine is a Monroe, Louisiana based nurse practitioner with 17 years of experience in . She completed her graduation in 2008. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Kimberly Extine is 201192 for Family in Louisiana. Her current practice location is 2516 Broadmoor Blvd Ste 1d, Monroe. Patients can reach her at 318-807-4746 or can fax her at 318-812-6034. Kimberly Extine is NP and her NPI number (Unique professional ID assigned by NPPES) is 1851525687.
Kimberly Extine has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kimberly Extine speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kimberly Extine |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 17+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2008 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2516 Broadmoor Blvd Ste 1d, Monroe,
Louisiana, 71201 |
| Phone: | 318-807-4746 |
| Fax: | 318-812-6034 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 9032241773 |
| Enrollment ID: | I20190114003094 |
| NPI Number: | 1851525687 |
| NPI Enumeration Date: | 07 May, 2009 |
| NPI Last Update On: | 19 Sep, 2019 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kimberly Extine are as mentioned below.
| License Number | Specialization | State | Status | |
| 201192 | Family | Louisiana | Primary | |
| 201192 | Nurse Practitioner | Louisiana | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Kimberly Extine is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Integrated Care Professionals Of Lousiana, Llc (2264775071) | 5 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kimberly Extine such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2486055 | Medicaid | Louisiana | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kimberly Extine
130 Desiard St Ste 355,
Monroe, Louisiana |
| Zip: | 71201-7363 |
| Phone Number: | 318-807-7875 |
| Fax Number: | 318-812-6603 |
Patients can reach Kimberly Extine at
2516 Broadmoor Blvd Ste 1d, Monroe, Louisiana or can
call to book an appointment on 318-807-4746.
Comments/ Reviews:
Patients can read all the reviews posted for Kimberly Extine below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Kimberly Extine. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.