Individual provider Active NPI

Kyron Lakeith Anthony

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1093285348
Registry record updated Nov 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139791 Issued in TX
Practice address
14445 Silverthorn Ave
Baton Rouge, LA 70819-2032
Phone
(225) 772-3351
NPI assigned
Nov 29, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP139791 TX Primary

Addresses

Primary practice location

14445 Silverthorn Ave
Baton Rouge, LA 70819-2032

Mailing address

14445 Silverthorn Ave
Baton Rouge, LA 70819-2032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200903000578 LA Practitioner - Nurse Practitioner 7214354349 Reassigns benefits to 2 organizations
I20210419000725 TX Practitioner - Nurse Practitioner 7214354349 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince Apr 1, 2021 Accepting new patients
Signify Health, LLC CurrentSince Nov 24, 2022 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Apr 1, 2021 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Vpa of Texas PLLC CurrentSince Apr 1, 2021 Accepting new patients
Restorixhealth at-Home, LLC CurrentSince Sep 14, 2020 Accepting new patients

Locations

3445 N Causeway Blvd
Ste 600
Metairie, LA 70002
Phone (504) 835-4919

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1093285348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14445 SILVERTHORN AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708192032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14445 SILVERTHORN AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708192032",
            "telephone_number": "225-772-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "KYRON",
        "middle_name": "LAKEITH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-11-29",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.