Kevin James Prejean

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

2203785514 Issued in LA

Practice address

439 E Saint Peter St
New Iberia, LA 70560-3752

Phone

(337) 367-5858

Fax

(337) 359-9083

NPI assigned

Aug 9, 2024

Last updated

Aug 9, 2024By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Apexcare, LLC

  • In Home Supportive Care Agency
  • New Iberia, LA
  • NPI 1770200214
  NPD

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723161600000",
    "number": "1073344222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 E SAINT PETER ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603752",
            "telephone_number": "337-367-5858",
            "fax_number": "337-359-9083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 E SAINT PETER ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705603752",
            "telephone_number": "337-367-5858",
            "fax_number": "337-359-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREJEAN",
        "first_name": "KEVIN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-09",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "LA",
            "license": "2203785514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Emmett Poisso Jr., OPA-C, SA-C, R.T.(R)
• Brianna Pontiff
• Sydney Renee Pontiff, PA
• Julia Porche
• Drake Powell
• Hannah Prentiss, M.S.
• Lynez Cecilia Preyan, PHARMD
• Amore Prince
• Valarie Prince, LAC, , PLPC
• Priority Behavioral Health LLC

• Personal Care Attendant in New Iberia, LA
• Providers in New Iberia, LA by specialty
• Personal Care Attendant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.