Individual provider Active NPI

Kathryn Hebert, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Youngsville, LA
National Provider Identifier
1124346218
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN101430-AP06122 Issued in LA
Practice address
814 Fortune Rd Ste 108
Youngsville, LA 70592-5542
Phone
(337) 573-4132
Fax
(337) 573-4161
NPI assigned
May 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN101430-AP06122 LA Primary

Addresses

Primary practice location

814 Fortune Rd Ste 108
Youngsville, LA 70592-5542

Mailing address

814 Fortune Rd Ste 108
Youngsville, LA 70592-5542
Phone (337) 573-4132

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
I20100724000056 LA Practitioner - Nurse Practitioner 0446382568 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

814 Fortune Rd
Suite 108
Youngsville, LA 70592-5542
Phone (337) 573-4132

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN101430-AP06122LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oceans Behavioral Hospital of Lafayette LLC Current Accepting new patients
KMH Psychiatry LLC Psychiatric/Mental Health CurrentSince Feb 16, 2015 Accepting new patients

Locations

420 Albertson Pkwy
Broussard, LA 70518
Phone (337) 237-6444

800 Kaliste Saloom Rd
Lafayette, LA 70508
Phone (337) 233-2400

1310 Heather Dr
Opelousas, LA 70570
Phone (337) 948-8820

814 Fortune Rd
Ste 108
Youngsville, LA 70592
Phone (337) 513-0822

Organizations & group practices 2

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": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1124346218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 FORTUNE RD STE 108",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925542",
            "telephone_number": "337-573-4132",
            "fax_number": "337-573-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 FORTUNE RD STE 108",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925542",
            "telephone_number": "337-573-4132",
            "fax_number": "337-573-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERT",
        "first_name": "KATHRYN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-13",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "RN101430-AP06122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngsville, LA

Sources for this page

Verify at the official NPI Registry.