Kathryn Ann Irizarry, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

016426 Issued in LA

Practice address

2 Medical Plaza PL
Minden, LA 71055-3330

Phone

(318) 377-8400

Fax

(318) 377-8641

NPI assigned

Feb 6, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3425/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184763906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 N TANGLEWOOD DR",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710555631",
            "telephone_number": "318-371-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PLAZA PL",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553330",
            "telephone_number": "318-377-8400",
            "fax_number": "318-377-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "016426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1341797",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beverly Hulbin, LPC
• Hulin Urgent Care Services LLC (SouthStar Urgent Care)
• Stephanie Gills Humphrey, NP
• Irizarry Family Practice, LLC
• Carlos Adriel Irizarry, MD
• William Douglas James, D.P.T.
• Johnny L Johnson
• Morgan Leanne Johnson, PHARMD
• Vondrick Jamal Johnson, NEMT
• Scott Johnston

• Family Medicine Physician in Minden, LA
• Providers in Minden, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.