Individual provider Active NPI

Keyunta Lakeil Perkins, APRN, FNP-C

  • Family Nurse Practitioner
  • Mandeville, LA
National Provider Identifier
1134864366
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
224850 Issued in LA
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

Updated by the provider on Sep 15, 2022

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220608001693 LA Practitioner - Nurse Practitioner 4284012949 Reassigns benefits to 2 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
Access Health LouisianaGroup PAC ID 3678484276, 42 clinicians

Practice addresses (Care Compare)

42351 Phyllis Ann Dr
Hammond, LA 70403-1254
Phone (504) 575-3712

Hospital & facility affiliations

  • North Oaks Medical Center Hospital, Hammond, LA, CCN 190015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
224850LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Convenient Care LLC Current Accepting new patients
Convenient Care LLC CurrentSince Jan 2, 2023 Accepting new patients
Convenient Care LLC CurrentSince Jan 2, 2023 Accepting new patients
Access Health Louisiana CurrentSince Aug 1, 2025 Accepting new patients
Access Health Louisiana CurrentSince Aug 1, 2025 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.