Active NPI
Kendra Lashawn Michael, MD
- Pediatrics Physician
- Prairieville, LA
National Provider Identifier
1154525731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD.202902
- Practice address
- 16260 Airline Highway
Prairieville, LA 70769 - Phone
- (225) 761-5211
- NPI assigned
- Jun 14, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | BP1-0026312 | TX | |
| Pediatrics Physician | 208000000X | MD.202902 | LA | Primary |
Addresses
Primary practice location
16260 Airline Highway
Prairieville, LA 70769
Mailing address
1514 Jefferson Highway
New Orleans, LA 70121
Phone (504) 842-4000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01630219 | Medicaid | MS | |
| 3851657285 | Other | MYUTMB 3851657285-COMMERCIAL NUMBER | |
| 1886114 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.202902 | LA | MD | Pediatrics Physician |
| BP1-0026312 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Past | Accepting new patients | |
| Ochsner Clinic LLC | Past | Accepting new patients |
Interoperability endpoints
- kmichael12289@direct.ochsner.org
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.
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- NPI 1013747039
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1154525731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1514 JEFFERSON HIGHWAY",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "70121",
"telephone_number": "504-842-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16260 AIRLINE HIGHWAY",
"city": "PRAIRIEVILLE",
"state": "LA",
"postal_code": "70769",
"telephone_number": "225-761-5211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICHAEL",
"first_name": "KENDRA",
"middle_name": "LASHAWN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "BP1-0026312",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "MD.202902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01630219",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MYUTMB 3851657285-COMMERCIAL NUMBER",
"identifier": "3851657285",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1886114",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prairieville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.