NPIMap

Individual provider Active NPI

Kallie Hess, MSN, FNP-C

  • Family Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1316308927
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08593 Issued in LA
Practice address
2770 3Rd Ave Ste 300
Lake Charles, LA 70601-8994
Phone
(337) 494-6800
Fax
(337) 494-4696
NPI assigned
Mar 9, 2016
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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 AP08593 LA Primary

Addresses

Primary practice location

2770 3Rd Ave Ste 300
Lake Charles, LA 70601-8994

Mailing address

PO Box 122205 Dept 2205
Dallas, TX 75312-0001
Phone (337) 494-2921

Other identifiers 1

IdentifierTypeStateIssuer
2426826MedicaidLA

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
I20160728000335 LA Practitioner - Nurse Practitioner 9931492998 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swlhs LLCGroup PAC ID 6406938612, 17 clinicians

Practice addresses (Care Compare)

1717 Oak Park Blvd
FL 1
Lake Charles, LA 70601-8977
Phone (337) 494-6800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beauregard Medical and Surgical Center, LLC CurrentSince May 21, 2016 Accepting new patients
Swlhs LLC CurrentSince Sep 1, 2024 Accepting new patients

Locations

301 S Washington St
Deridder, LA 70634
Phone (337) 460-7688

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

1902 Johnson St
Jennings, LA 70546
Phone (337) 788-2864

1717 Oak Park Blvd
Fl 1
Lake Charles, LA 70601
Phone (337) 478-3810

2770 3rd Ave
Ste 300
Lake Charles, LA 70601
Phone (337) 477-6061

2770 3rd Ave
Ste 320
Lake Charles, LA 70601
Phone (337) 494-6800

4345 Nelson Rd
Ste 201
Lake Charles, LA 70605
Phone (337) 494-6800

Organizations & group practices 3

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 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1457481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1316308927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122205 DEPT 2205",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753120001",
            "telephone_number": "337-494-2921",
            "fax_number": "337-494-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 3RD AVE STE 300",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018994",
            "telephone_number": "337-494-6800",
            "fax_number": "337-494-4696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESS",
        "first_name": "KALLIE",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-09",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2426826",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.