Individual provider Active NPI

Kelsey Eschette, CST,CSFA

  • Surgical Physician Assistant
  • Houma, LA
National Provider Identifier
1245627959
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
203 Pendleton Dr
Houma, LA 70360-3929
Phone
(985) 805-0921
NPI assigned
Apr 20, 2015
Last updated
Dec 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X LA Primary
Surgical Assistant 246ZC0007X 140601 LA
Surgical Technologist 246ZS0410X 140601 LA

Addresses

Primary practice location

203 Pendleton Dr
Houma, LA 70360-3929

Mailing address

203 Pendleton Dr
Houma, LA 70360-3929
Phone (985) 805-0921

Other names 1

  • Mrs. Kelsey Eschette Pierce Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
140601LAMDSurgical Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Surgical Services, L.L.C. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1245627959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 PENDLETON DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603929",
            "telephone_number": "985-805-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 PENDLETON DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703603929",
            "telephone_number": "985-805-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCHETTE",
        "first_name": "KELSEY",
        "name_prefix": "Ms.",
        "credential": "CST,CSFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-20",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "LA",
            "license": null,
            "primary": true
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "LA",
            "license": "140601",
            "primary": false
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "LA",
            "license": "140601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "PIERCE",
            "middle_name": "ESCHETTE",
            "prefix": "MRS.",
            "credential": "CST,CSFA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.