Individual provider Active NPI

Katlyn Hebert Lagrange, APRN, FNP-C

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1124697800
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
220519 Issued in LA
Practice address
1211 Coolidge Blvd Ste 404
Lafayette, LA 70503-2638
Phone
(337) 289-7991
NPI assigned
Jun 17, 2021
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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 220519 LA Primary

Addresses

Primary practice location

1211 Coolidge Blvd Ste 404
Lafayette, LA 70503-2638

Mailing address

1211 Coolidge Blvd Ste 404
Lafayette, LA 70503-2638

Other practice location 1

155 Hospital Dr Ste 101
Lafayette, LA 70503-2852
Phone (337) 234-3204

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
I20210820000067 LA Practitioner - Nurse Practitioner 9638574262 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians
GBR, LLCGroup PAC ID 8123206299, 15 clinicians

Practice addresses (Care Compare)

1211 Coolidge Blvd
Suite 404
Lafayette, LA 70503-2638
Phone (337) 247-9715

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

155 Hospital Dr
Suite 101
Lafayette, LA 70503-2852
Phone (337) 234-3204

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette General Medical Center Inc. CurrentSince Nov 17, 2024 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Oct 1, 2025 Accepting new patients
Lafayette Health Ventures, Inc CurrentSince Oct 1, 2025 Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Nov 17, 2024 Accepting new patients
GBR, LLC CurrentSince Jul 13, 2021 Accepting new patients

Locations

1211 Coolidge Blvd
Ste 404
Lafayette, LA 70503
Phone (337) 247-9715

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

155 Hospital Dr
Ste 101
Lafayette, LA 70503
Phone (337) 234-3204

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1124697800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 COOLIDGE BLVD STE 404",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 COOLIDGE BLVD STE 404",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032638",
            "telephone_number": "337-289-7991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Hospital Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705032852",
            "country_code": "US",
            "telephone_number": "337-234-3204",
            "fax_number": "337-234-3204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAGRANGE",
        "first_name": "KATLYN",
        "middle_name": "HEBERT",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-17",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "220519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.