Individual provider Active NPI

Khara' Alecia Jefferson, FNP-C

  • Family Nurse Practitioner
  • New Iberia, LA
National Provider Identifier
1225300429
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06747 Issued in LA
Practice address
2315 E Main St
New Iberia, LA 70560-4031
Phone
(337) 374-7620
Fax
(337) 374-7677
NPI assigned
Feb 2, 2012
Last updated
Feb 2, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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 AP06747 LA Primary

Addresses

Primary practice location

2315 E Main St
New Iberia, LA 70560-4031

Mailing address

500 Helm St
New Iberia, LA 70563-3116

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

State licenses

LicenseStateTypeSpecialty
AP06747LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Apr 24, 2018 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Sep 15, 2019 Accepting new patients
Highland Emergency Group, LLC CurrentSince Aug 7, 2021 Accepting new patients
St Mary Emergency Group LLC CurrentSince Dec 15, 2012 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
Lafayette Health Ventures, Inc CurrentSince Sep 15, 2019 Accepting new patients
Ochsner Clinic LLC CurrentSince Apr 24, 2018 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Main Street Emergency Group LLC CurrentSince Dec 1, 2014 Accepting new patients
Coolidge Emergency Group LLC CurrentSince Sep 21, 2013 Accepting new patients
Belle Chasse Emergency Group LLC CurrentSince Nov 27, 2018 Accepting new patients

Locations

2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

200 Corporate Blvd
Lafayette, LA 70508

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

1125 Marguerite St
Morgan City, LA 70380
Phone (985) 380-4434

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

1514 Jefferson Hwy
New Orleans, LA 70121

2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1225300429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HELM ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705633116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E MAIN ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604031",
            "telephone_number": "337-374-7620",
            "fax_number": "337-374-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERSON",
        "first_name": "KHARA'",
        "middle_name": "ALECIA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.