NPIMap

Individual provider Active NPI

Kayla Nordstrom, FNP

  • Family Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1285199844
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
203680 Issued in LA
Practice address
401 Dr Michael Debakey Dr
Lake Charles, LA 70601-5864
Phone
(337) 439-0762
NPI assigned
Feb 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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 203680 LA Primary

Addresses

Primary practice location

401 Dr Michael Debakey Dr
Lake Charles, LA 70601-5864

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other identifiers 2

IdentifierTypeStateIssuer
203680OtherLASTATE LICENSE
2491130MedicaidLA

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
I20190326001792 LA Practitioner - Nurse Practitioner 7416297601 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians
Sulphur Surgical ClincGroup PAC ID 7911951546, 5 clinicians

Practice addresses (Care Compare)

401 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5864
Phone (337) 436-6100

703 Cypress St
Suite a
Sulphur, LA 70663-5053
Phone (337) 310-0395

914 Cypress St
Sulphur, LA 70663-5107
Phone (337) 527-6363

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Mar 23, 2023 Accepting new patients
Calcasieu Cameron Hospital Service District CurrentSince Jan 15, 2026 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 23, 2023 Accepting new patients
Sulphur Surgical Clinc CurrentSince Sep 1, 2025 Accepting new patients
Calcasieu Cameron Hospital Service District CurrentSince Jan 15, 2026 Accepting new patients

Locations

1020 Main St
Hackberry, LA 70645
Phone (337) 762-3762

401 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 436-6100

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

703 Cypress St
Ste A
Sulphur, LA 70663
Phone (337) 310-0395

914 Cypress St
Sulphur, LA 70663
Phone (337) 527-6363

Interoperability endpoints

  • Direct secure messaging: nordstrom.kayla.1@31660.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1285199844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015864",
            "telephone_number": "337-439-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORDSTROM",
        "first_name": "KAYLA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "203680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "203680",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2491130",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.