Kristi Prejeant LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

10075801 Issued in LA

Legal business name

KRISTI PREJEANT LLC

Practice address

1302 Lakewood Dr
Suite 202
Morgan City, LA 70380-1800

Phone

(985) 384-3433

Fax

(985) 384-3453

NPI assigned

Sep 29, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kristi Prejeant, M.D.NPI 1396758652

Title

Owner

Phone

(985) 384-3433

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristi C Prejeant, M.D.

  • Surgery Physician
  • Morgan City, LA
  • NPI 1396758652
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285718400000",
    "number": "1003125790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 LAKEWOOD DR",
            "address_2": "SUITE 202",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801800",
            "telephone_number": "985-384-3433",
            "fax_number": "985-384-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 LAKEWOOD DR",
            "address_2": "SUITE 202",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703801800",
            "telephone_number": "985-384-3433",
            "fax_number": "985-384-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTI PREJEANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-29",
        "last_updated": "2010-09-29",
        "status": "A",
        "authorized_official_last_name": "PREJEANT",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-384-3433",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "LA",
            "license": "10075801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danette Mary Kelso, MS,RD,LDN
• Kidd and Associcates LLC (Kidd Vision Center)
• Kennedi Kiff, COTA
• Cyrus Kiyanfar, CRNA
• Theresa Nguyet Tien Kober
• Adrian Kyle
• Laboratory Corporation of America Holdings
• Laboratory of Louisiana LLC
• Shanna Lacoste
• Lake End Surgery LLC

• Clinic/Center in Morgan City, LA
• Providers in Morgan City, LA by specialty
• Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.