Individual provider Active NPI

Kody M. Daigle, NP

  • Family Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1144958232
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
226973 Issued in LA
Practice address
524 Dr Michael Debakey Dr
Lake Charles, LA 70601-5725
Phone
(337) 310-6000
NPI assigned
Aug 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 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 226973 LA Primary

Addresses

Primary practice location

524 Dr Michael Debakey Dr
Lake Charles, LA 70601-5725

Mailing address

224 Pipers LN
Sulphur, LA 70665-7006
Phone (337) 526-2175

Other practice location 1

224 Pipers Ln
Sulphur, LA 70665-7006
Phone (337) 526-2175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Cameron Emergency Physician Group LLC CurrentSince Feb 1, 2024 Accepting new patients
Access Urgent Care Inc CurrentSince Dec 13, 2023 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Mar 1, 2024 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

1530 E McNeese St
Ste 1
Lake Charles, LA 70607
Phone (337) 312-6070

2900 Gerstner Memorial Dr
Lake Charles, LA 70601
Phone (337) 485-4185

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

2825 Country Club Rd
Ste A
Lake Charles, LA 70605
Phone (337) 444-5867

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

Organizations & group practices 4

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": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1144958232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 PIPERS LN",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706657006",
            "telephone_number": "337-526-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 DR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015725",
            "telephone_number": "337-310-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "224 Pipers Ln",
            "address_purpose": "LOCATION",
            "city": "Sulphur",
            "state": "LA",
            "postal_code": "706657006",
            "country_code": "US",
            "telephone_number": "337-526-2175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAIGLE",
        "first_name": "KODY",
        "middle_name": "M.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "226973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.