Individual provider Active NPI

Kim Mitchell Lange, FNP APRN

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1093994253
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN065597 AP04838 Issued in LA
Practice address
4921 Lennox Blvd
New Orleans, LA 70131-8362
Phone
(504) 394-5200
Fax
(504) 394-5200
NPI assigned
Oct 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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 RN065597 AP04838 LA Primary

Addresses

Primary practice location

4921 Lennox Blvd
New Orleans, LA 70131-8362

Mailing address

4921 Lennox Blvd
New Orleans, LA 70131-8362
Phone (504) 394-5200

Other identifiers 1

IdentifierTypeStateIssuer
1334260MedicaidLA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20081105000629 LA Practitioner - Nurse Practitioner 2264591254 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Louisiana LLCGroup PAC ID 4880731355, 140 clinicians

Practice addresses (Care Compare)

2900 Westfork Dr
Suite 401
Baton Rouge, LA 70827-0004
Phone (877) 260-4747

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN065597 AP04838LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BHG Lxii LLC Current Accepting new patients
BHG Lxii LLC CurrentSince Dec 1, 2022 Accepting new patients
CH MSSP Services la LLC CurrentSince Jun 4, 2025 Accepting new patients
BHG Lxii LLC Nurse Practitioner CurrentSince Dec 1, 2022 Accepting new patients
Curana Health of Louisiana LLC CurrentSince Jun 4, 2025 Accepting new patients
On Demand Medical LLC Family Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients

Locations

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

519 Metairie Rd
Ste 100
Metairie, LA 70005
Phone (504) 838-6000

2235 Poydras St
Unit B
New Orleans, LA 70119
Phone (504) 524-7205

2614 Jefferson Hwy
New Orleans, LA 70121
Phone (504) 291-5100

1303 Line Ave
Ste 600
Shreveport, LA 71101
Phone (318) 425-3400

100 Kingston Rd
Sulphur, LA 70663
Phone (318) 446-1667

5001 Spring Vly
Ste 600E
Dallas, TX 75244

Interoperability endpoints

  • Direct secure messaging: klange605343@direct.ochsner.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380153600000",
    "number": "1093994253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 LENNOX BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701318362",
            "telephone_number": "504-394-5200",
            "fax_number": "504-394-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 LENNOX BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701318362",
            "telephone_number": "504-394-5200",
            "fax_number": "504-394-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "KIM",
        "middle_name": "MITCHELL",
        "name_prefix": "Mrs.",
        "credential": "FNP APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2013-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN065597 AP04838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1334260",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.