Kipp Burnette Ardoin, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

GETP.TUL.PED Issued in LA

Practice address

2903 1St Ave
Lake Charles, LA 70601-8809

Phone

(337) 478-6480

NPI assigned

Nov 14, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kardoin5287521@direct.casso.us.com

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.

• Children'S Clinic of Southwest Louisiana, Inc.

  • Pediatrics Physician
  • Lake Charles, LA
  • NPI 1548287584
  NPD (past)
• Christus Health Southwestern Louisiana

  • General Acute Care Hospital
  • Lake Charles, LA
  • NPI 1548796378
  NPD (past)
• Southwest Louisiana Hospital Association Inc

  • General Acute Care Hospital
  • Lake Charles, LA
  • NPI 1972549855
  NPD (past)
• Swla Neonatology

  • Neonatal-Perinatal Medicine Physician
  • Lake Charles, LA
  • NPI 1962174342
  NPD (past)

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366243200000",
    "number": "1306027701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 1ST AVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018809",
            "telephone_number": "337-478-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 1ST AVE",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018809",
            "telephone_number": "337-478-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDOIN",
        "first_name": "KIPP",
        "middle_name": "BURNETTE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-14",
        "last_updated": "2013-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "GETP.TUL.PED",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1002992",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deidre Ann Ardoin, PT, MSPT
• Jenny Ardoin
• Jessica Lee Ardoin
• Jillian L Ardoin, LMT
• Kayla Ardoin
• Lindsey Ardoin
• Nicole Ardoin
• Shannon Ardoin, LAC
• Jerome J Arimura, M.D.
• Desaree Dany Armand, PLPC

• Pediatrics Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.