Individual provider Active NPI

Kayla Sherer Hatten

  • Pharmacist
  • Lake Charles, LA
National Provider Identifier
1265150304
Registry record updated Jan 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
024460 Issued in LA
Practice address
4097 Ryan St
Lake Charles, LA 70605-2819
Phone
(337) 474-0434
NPI assigned
Aug 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 024460 LA Primary

Addresses

Primary practice location

4097 Ryan St
Lake Charles, LA 70605-2819

Mailing address

4097 Ryan St
Lake Charles, LA 70605-2819
Phone (337) 474-0434

Other practice location 1

4060 Ryan St
Lake Charles, LA 70605-2841
Phone (337) 478-9197

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
024460LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co CurrentSince Jan 15, 2023 Accepting new patients
Walgreen Co PastSince Jan 15, 2023 Accepting new patients
Albertsons LLC PastSince Aug 1, 2022 Accepting new patients
Albertsons LLC PastSince Aug 1, 2022 Accepting new patients

Locations

4097 Ryan St
Lake Charles, LA 70605
Phone (337) 292-6610

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1660521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673222400000",
    "number": "1265150304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4097 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052819",
            "telephone_number": "337-474-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4097 RYAN ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052819",
            "telephone_number": "337-474-0434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4060 Ryan St",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706052841",
            "country_code": "US",
            "telephone_number": "337-478-9197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATTEN",
        "first_name": "KAYLA",
        "middle_name": "SHERER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-15",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "024460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; 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.