Individual provider Active NPI

Kennetha L Simien, NP

  • Family Nurse Practitioner
  • Sulphur, LA
National Provider Identifier
1013550433
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
208939 Issued in LA
Practice address
475 High Hope Rd
Sulphur, LA 70663-0037
Phone
(337) 527-8140
NPI assigned
Oct 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 208939 LA Primary

Addresses

Primary practice location

475 High Hope Rd
Sulphur, LA 70663-0037

Mailing address

702 E School St Ste B
Lake Charles, LA 70607-3028
Phone (337) 912-5984

Other practice location 1

475 High Hope Rd
Sulphur, LA 70663-0037
Phone (337) 527-8140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX, CO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20191106001383 LA Practitioner - Nurse Practitioner 3476885740 Reassigns benefits to 2 organizations
I20251029002096 TX Practitioner - Nurse Practitioner 3476885740 Reassigns benefits to 2 organizations
I20251230004121 CO Practitioner - Nurse Practitioner 3476885740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mana Health Partners TX PLLCGroup PAC ID 7214455914, 35 clinicians

Practice addresses (Care Compare)

4195 Milam St
Beaumont, TX 77707-3918
Phone (409) 842-4550

Hospital & facility affiliations

  • West Calcasieu Cameron Hospital Hospital, Sulphur, LA, CCN 190013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Jun 11, 2025 Accepting new patients
Curana Health of Louisiana LLC CurrentSince Oct 18, 2019 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Mana Health Partners TX PLLC CurrentSince Sep 30, 2025 Accepting new patients

Locations

7700 E Arapahoe Rd
Ste 220
Centennial, CO 80112
Phone (303) 285-1148

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

1509 Dulles Dr
Lafayette, LA 70506
Phone (337) 408-0803

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416

338 Whitesville Rd
Ste 103
Jackson, NJ 08527

4195 Milam St
Beaumont, TX 77707
Phone (409) 842-4450

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

7633 Bellfort St
Houston, TX 77061
Phone (713) 644-2101

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1013550433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 E SCHOOL ST STE B",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706073028",
            "telephone_number": "337-912-5984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 HIGH HOPE RD",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706630037",
            "telephone_number": "337-527-8140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "475 High Hope Rd",
            "address_purpose": "LOCATION",
            "city": "Sulphur",
            "state": "LA",
            "postal_code": "706630037",
            "country_code": "US",
            "telephone_number": "337-527-8140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMIEN",
        "first_name": "KENNETHA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-18",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "208939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

Verify at the official NPI Registry.