Active NPI
Zane Ashton Kirby, PA-C
- Medical Physician Assistant
- Slidell, LA
National Provider Identifier
1164730495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA.200384
- Practice address
- 1150 Robert Blvd
Suite 100
Slidell, LA 70458-2005 - Phone
- (985) 646-1122
- Fax
- (888) 464-0738
- NPI assigned
- Sep 21, 2010
- Last updated
- May 21, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA.200384 | LA | Primary |
Addresses
Primary practice location
1150 Robert Blvd
Suite 100
Slidell, LA 70458-2005
Mailing address
1150 Robert Blvd.
Suite 100
Slidell, LA 70458-2005
Phone (985) 646-1122
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00309913 | Other | LA | RRMCARE THRU PEPA |
| 2139002 | Medicaid | LA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.200384 | LA | MD | Medical Physician Assistant |
Organizations & group practices 1
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.
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- NPI 1891187654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1164730495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 ROBERT BLVD.",
"address_2": "SUITE 100",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582005",
"telephone_number": "985-646-1122",
"fax_number": "888-464-0738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 ROBERT BLVD",
"address_2": "SUITE 100",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582005",
"telephone_number": "985-646-1122",
"fax_number": "888-464-0738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRBY",
"first_name": "ZANE",
"middle_name": "ASHTON",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-21",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "LA",
"license": "PA.200384",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMCARE THRU PEPA",
"identifier": "P00309913",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2139002",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.