Individual provider Active NPI

Kaitlyn Maricle

  • Family Nurse Practitioner
  • Oakdale, LA
National Provider Identifier
1023804127
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
241323 Issued in LA
Practice address
119 Hospital Dr
Oakdale, LA 71463-3034
Phone
(318) 335-0260
Fax
(318) 335-3356
NPI assigned
Apr 16, 2025
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 241323 LA Primary
Registered Nurse 163W00000X RN160492 LA

Addresses

Primary practice location

119 Hospital Dr
Oakdale, LA 71463-3034

Mailing address

543 Highway 462
Pitkin, LA 70656-2613
Phone (318) 290-8203

Other practice location 1

805 Cherry St
Mamou, LA 70554-2223
Phone (337) 468-2250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN160492LAMDRegistered Nurse
241323LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Women's Clinic of Oakdale, LLC Past Accepting new patients
Women's Medical & Surgical Clinic, Inc. Past Accepting new patients
Women's Clinic of Oakdale, L.L.C. Past Accepting new patients
Women's Medical & Surgical Clinic, Inc. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CAGEBA/Endpoint/CAGEBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1023804127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 HIGHWAY 462",
            "city": "PITKIN",
            "state": "LA",
            "postal_code": "706562613",
            "telephone_number": "318-290-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 HOSPITAL DR",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "714633034",
            "telephone_number": "318-335-0260",
            "fax_number": "318-335-3356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Cherry St",
            "address_purpose": "LOCATION",
            "city": "Mamou",
            "state": "LA",
            "postal_code": "705542223",
            "country_code": "US",
            "telephone_number": "337-468-2250",
            "fax_number": "337-468-2702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARICLE",
        "first_name": "KAITLYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "241323",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN160492",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.