Kyle Damon Juneau, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

PERMIT 2187 Issued in LA

Practice address

12525 Perkins Rd
Suite B
Baton Rouge, LA 70810-1907

Phone

(225) 819-8857

Fax

(225) 767-6822

NPI assigned

Oct 7, 2009

Last updated

Feb 5, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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 1

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Urgent Care Ascension LLCGroup PAC ID 0244479095, 22 clinicians

St. James Parish Hosp Serv DistGroup PAC ID 3476459850, shared by 5 NPIs, 10 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St James Parish Hospital Hospital, Lutcher, LA, CCN 191305

Merit-based Incentive Payment System (MIPS)

Final score

81.29 of 100Reported as group

Quality

64.64

Promoting interoperability

99

Improvement activities

40

Cost

73.84

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Lake Urgent Care Ascension LLC

  dba Lake Urgent Care - Ascension

  • Urgent Care Clinic/Center
  • Prairieville, LA
  • NPI 1912243122
  Medicare reassignment Care Compare group NPD
• C & M Medical Services, Inc.

  • Emergency Medical Services (Emergency Medicine) Physician
  • Metairie, LA
  • NPI 1710903059
  Medicare reassignment NPD
• Convenient Care LLC

  dba Lake After Hours Perkins

  • Urgent Care Clinic/Center
  • Baton Rouge, LA
  • NPI 1164422630
  Medicare reassignment NPD
• Red Stick Emergency Group LLC

  • Emergency Medicine Physician
  • Baton Rouge, LA
  • NPI 1275705998

  Nurse Practitioner

  Medicare reassignment NPD
• Riverside Urgent Care

  • Urgent Care Clinic/Center
  • La Place, LA
  • NPI 1508098427
  Medicare reassignment NPD
• St Joseph Medical Clinic a Medical Corporation

  • Rural Health Clinic/Center
  • Vacherie, LA
  • NPI 1255348843
  Medicare reassignment NPD
• St. James Parish Hosp. Serv. Dist.

  • Critical Access Hospital
  • Lutcher, LA
  • NPI 1295868065
  Medicare reassignment NPD
• St. James Parish Hosp. Serv. Dist.

  • Critical Access Hospital
  • Lutcher, LA
  • NPI 1588654966
  Medicare reassignment NPD
• Thibodaux Emergency Physicians Group LLC

  • Emergency Medicine Physician
  • Thibodaux, LA
  • NPI 1568910503
  Medicare reassignment NPD
• Convenient Care LLC

  dba Lake After Hours Hammond

  • Urgent Care Clinic/Center
  • Hammond, LA
  • NPI 1225119225
  NPD
• Lake Urgent Care Ascension LLC

  dba Lake Urgent Care - Galvez

  • Urgent Care Clinic/Center
  • Prairieville, LA
  • NPI 1104162221
  NPD
• Lake Urgent Care Ascension LLC

  • Urgent Care Clinic/Center
  • Saint Amant, LA
  • NPI 1487024618
  NPD

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

• St. James Parish Hosp. Serv. Dist.

  • Critical Access Hospital
  • Lutcher, LA
  • NPI 1588654966
  Care Compare affiliation

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1053646125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "SUITE 1004-154",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-214-9352",
            "fax_number": "225-214-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12525 PERKINS RD",
            "address_2": "SUITE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101907",
            "telephone_number": "225-819-8857",
            "fax_number": "225-767-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNEAU",
        "first_name": "KYLE",
        "middle_name": "DAMON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-07",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "PERMIT 2187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1805548",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Jumonville, MD
• Wendy A. Jumonville, MS
• Allison Junca, RD
• Emille G Juneau
• Jodie Tyler Juneau
• Melissa D Juneau, M.A.CCC SLP
• Ryan Juneau, CNIM
• Lauren Adair Juneja, MD
• Sanjay Kumar Juneja, MD
• Dustin David Junot, CRNA

• Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.