Active NPI
Kent Joseph Fairchild, R.N.
- Medical-Surgical Registered Nurse
- Kenner, LA
National Provider Identifier
1104054410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- 088834
- Practice address
- 19 Madera CT
Kenner, LA 70065-3140 - Phone
- (504) 460-3271
- NPI assigned
- Jun 24, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 088834 | LA | Primary |
Addresses
Primary practice location
19 Madera CT
Kenner, LA 70065-3140
Mailing address
19 Madera CT
Kenner, LA 70065-3140
Phone (504) 460-3271
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 088834 | LA | MD | Medical-Surgical Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245801600000",
"number": "1104054410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 MADERA CT",
"city": "KENNER",
"state": "LA",
"postal_code": "700653140",
"telephone_number": "504-460-3271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 MADERA CT",
"city": "KENNER",
"state": "LA",
"postal_code": "700653140",
"telephone_number": "504-460-3271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIRCHILD",
"first_name": "KENT",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-24",
"last_updated": "2009-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "LA",
"license": "088834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenner, LA
- Exceptional Dental of Kenner
- Extreme Environmental Medicine, LLC
- Jordan Paul Ezell, M.D.
- Kenmeisha Norlondra Ezidore
- Keyan Fahimipour
- Lauren Marie Falcon, PT, DPT, OCS
- Family First Medical & Wellness Clinic, LLC
- Family Medicine & Acupuncture, LLC
- Family Reources Unlimited, Inc
- Family Resources Unlimited, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.