NPIMap

Individual provider Active NPI

Katie Ann Kimpel, NP

  • General Practice Registered Nurse
  • Boyce, LA
National Provider Identifier
1245543768
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
RN113323-APO6187 Issued in LA
Practice address
415 Saint Clair Rd Ste B
Boyce, LA 71409
Phone
(318) 528-3223
Fax
(318) 528-3224
NPI assigned
Jul 26, 2010
Last updated
Jun 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X RN113323-APO6187 LA Primary

Addresses

Primary practice location

415 Saint Clair Rd Ste B
Boyce, LA 71409

Mailing address

11750 W 2ND PL
Suite 365
Lakewood, CO 80228-1575
Phone (720) 321-8280

Other practice location 1

11750 W 2nd Pl
Suite 365
Lakewood, CO 80228-1575
Phone (720) 321-8280

Other identifiers 1

IdentifierTypeStateIssuer
2145878MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110504000701 LA Practitioner - Nurse Practitioner 4082899125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

2812 Hwy 28 E
Pineville, LA 71360-5715
Phone (318) 528-3355

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN113323-APO6187LAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Dec 1, 2020 Accepting new patients
C H Wilkinson Physician Network Nurse Practitioner CurrentSince Sep 30, 2019 Accepting new patients
C H Wilkinson Physician Network CurrentSince Sep 30, 2019 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 1, 2020 Accepting new patients
Rapides Regional Physician Group Specialty Care, LLC PastSince Oct 12, 2019 Accepting new patients
Rapides Regional Physician Group Primary Care, LLC Past Accepting new patients

Locations

2812 Highway 28 E
Pineville, LA 71360
Phone (318) 528-3355

1 Saint Mary Pl
Shreveport, LA 71101
Phone (318) 681-4500

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
  • Direct secure messaging: kkimpel242855@christushealth.direct-ci.net

Organizations & group practices 6

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.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1245543768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 W 2ND PL",
            "address_2": "SUITE 365",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281575",
            "telephone_number": "720-321-8280",
            "fax_number": "720-321-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 SAINT CLAIR RD STE B",
            "city": "BOYCE",
            "state": "LA",
            "postal_code": "71409",
            "telephone_number": "318-528-3223",
            "fax_number": "318-528-3224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11750 W 2nd Pl",
            "address_2": "Suite 365",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281575",
            "country_code": "US",
            "telephone_number": "720-321-8280",
            "fax_number": "720-321-8281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMPEL",
        "first_name": "KATIE",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-26",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "LA",
            "license": "RN113323-APO6187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2145878",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boyce, LA

Sources for this page

Verify at the official NPI Registry.