JKL Healthcare Services LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

024930 Issued in LA

Legal business name

JKL HEALTHCARE SERVICES LLC

Practice address

520 N Lewis St
Suite 100
New Iberia, LA 70563-2094

Phone

(337) 367-8220

Fax

(337) 367-8108

NPI assigned

May 15, 2007

Last updated

Jun 17, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Smith, MDNPI 1073500344

Title

Physician

Phone

(337) 367-8220

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly R Smith, M.D.,

  • Internal Medicine Physician
  • New Iberia, LA
  • NPI 1073500344
  Medicare reassignment NPD Authorized official
• Tawanna Chretien, LPN

  • Licensed Practical Nurse
  • Broussard, LA
  • NPI 1386574440
  NPD

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1063628055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N LEWIS ST",
            "address_2": "SUITE 100",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632094",
            "telephone_number": "337-367-8220",
            "fax_number": "337-367-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N LEWIS ST",
            "address_2": "SUITE 100",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632094",
            "telephone_number": "337-367-8220",
            "fax_number": "337-367-8108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKL HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "337-367-8220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "024930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Jarrell, LPC
• Jason D Landry MD LLC
• Jeannine F. Morris, LCSW, Acsw, LLC
• Khara' Alecia Jefferson, FNP-C
• Precious Jenkins, PHD
• Sworoop Thomas John, M.D.
• Danette Kelemen Johnson, APRN-CNP
• Lakeidra Johnson
• Maggie Johnson, M.S.
• Simone Johnson, LCSW

• Internal Medicine Physician in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; 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.