Kevin Kathleen M Menard, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1103 Kaliste Saloom Rd
Lafayette, LA 70508-5783

Phone

(337) 234-5234

NPI assigned

Aug 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Physician Assistant

Education

Louisiana State University School of Medicine in Shreveport, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lafayette Surgical Specialty Hospital Hospital, Lafayette, LA, CCN 190259

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

• Lafayette Surgical Hospital LLC

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1134222565
  Care Compare affiliation
• Lafayette Surgical Hospital, LLC

  • Specialist
  • Lafayette, LA
  • NPI 1255736492

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634342400000",
    "number": "1013682855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 KALISTE SALOOM RD STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085784",
            "telephone_number": "337-234-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 KALISTE SALOOM RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085783",
            "telephone_number": "337-234-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENARD",
        "first_name": "KEVIN KATHLEEN",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-10-16",
        "certification_date": "2021-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrin D Menard, MD
• Ebony Paige Menard
• Emily Menard, LBA, BCBA
• Jereme' Chais Menard Sr., D.C.
• Jeremy James Menard, P. T.
• Lexi Menard, MS, LPC
• Pauline D Menard
• Rebecca Johnson Menard, AU.D.
• Tricia Feucht Menard, RPH
• Jaime Mendoza, LOTR,CHT

• Physician Assistant in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.