Active NPI
Keyunta Lakeil Perkins, APRN, FNP-C
- Family Nurse Practitioner
- Mandeville, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 224850
- Practice address
- 4430 Highway 22
Mandeville, LA 70471-3310 - Phone
- (985) 626-3470
- NPI assigned
- May 2, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 224850 | LA | Primary |
Addresses
Primary practice location
4430 Highway 22
Mandeville, LA 70471-3310
Mailing address
PO Box 2021
Ponchatoula, LA 70454-2021
Phone (985) 662-2049
Other practice location 1
1103 Rue De La Paix
Hammond, LA 70403-5317
Phone (985) 662-2049
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
Enrollment records 1
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
Practice addresses (Care Compare)
42351 Phyllis Ann Dr
Hammond, LA 70403-1254
Phone (504) 575-3712
Hospital & facility affiliations
- North Oaks Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 224850 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Convenient Care LLC | Current | Accepting new patients | |
| Convenient Care LLC | Current | Accepting new patients | |
| Convenient Care LLC | Current | Accepting new patients | |
| Access Health Louisiana | Current | Accepting new patients | |
| Access Health Louisiana | Current | Accepting new patients | |
| Access Health Louisiana | Past | Accepting new patients |
Locations
12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857
8200 Highway 23
Belle Chasse, LA 70037
Phone (504) 398-1100
2807 S Columbia St
Bogalusa, LA 70427
Phone (985) 730-7310
8050 W Judge Perez Dr
Ste 1300
Chalmette, LA 70043
Phone (504) 281-2800
42351 Phyllis Ann Dr
Hammond, LA 70403
Phone (985) 956-7406
671 W Esplanade Ave
Kenner, LA 70065
Phone (504) 412-1700
843 Milling Ave
Luling, LA 70070
Phone (985) 785-5800
16004 River Rd
Norco, LA 70079
Phone (985) 725-9330
501 Robert Blvd
Slidell, LA 70458
Phone (504) 757-3712
9372 Highway 165 S
Woodworth, LA 71485
Phone (318) 484-9588
Interoperability endpoints
- keyunta.perkins.1@11331.direct.athenahealth.com
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.
-
- Federally Qualified Health Center (FQHC)
- Slidell, LA
- NPI 1487898946
-
- Urgent Care Clinic/Center
- Baton Rouge, LA
- NPI 1164422630
-
- Federally Qualified Health Center (FQHC)
- Marrero, LA
- NPI 1255226429
-
- Urgent Care Clinic/Center
- Hammond, LA
- NPI 1225119225
-
- Urgent Care Clinic/Center
- Baton Rouge, LA
- NPI 1518250356
-
- Federally Qualified Health Center (FQHC)
- Kenner, LA
- NPI 1417999327
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Hammond, LA
- NPI 1144227539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1134864366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2021",
"city": "PONCHATOULA",
"state": "LA",
"postal_code": "704542021",
"telephone_number": "985-662-2049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4430 HIGHWAY 22",
"city": "MANDEVILLE",
"state": "LA",
"postal_code": "704713310",
"telephone_number": "985-626-3470"
}
],
"practiceLocations": [
{
"address_1": "1103 Rue De La Paix",
"address_purpose": "LOCATION",
"city": "Hammond",
"state": "LA",
"postal_code": "704035317",
"country_code": "US",
"telephone_number": "985-662-2049",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERKINS",
"first_name": "KEYUNTA",
"middle_name": "LAKEIL",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-02",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "224850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mandeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.