NPIMap

Individual provider Active NPI

Kendra B. Meche, NP

  • Adult Health Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1326295239
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
99304-5479 Issued in LA
Practice address
4345 Nelson Rd Ste 102
Lake Charles, LA 70605-4183
Phone
(337) 480-7900
Fax
(337) 602-6358
NPI assigned
Aug 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 99304-5479 LA Primary

Addresses

Primary practice location

4345 Nelson Rd Ste 102
Lake Charles, LA 70605-4183

Mailing address

PO Box 123594 Dept 3594
Dallas, TX 75312-0001
Phone (337) 494-2921

Other identifiers 2

IdentifierTypeStateIssuer
2339711MedicaidLA
AP05479OtherLASTATE LICENSE

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
I20081010000076 LA Practitioner - Nurse Practitioner 5395813083 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MMG Nelson Rd LLCGroup PAC ID 9032407663, 5 clinicians

Practice addresses (Care Compare)

4345 Nelson Rd
Suite 102
Lake Charles, LA 70605-4183
Phone (337) 480-7900

Hospital & facility affiliations

  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060
  • Christus Ochsner St Patrick Hospital Hospital, Lake Charles, LA, CCN 190027
  • West Calcasieu Cameron Hospital Hospital, Sulphur, LA, CCN 190013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99304-5479LAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Charles Medical Services Family Practice Associates, LLC CurrentSince Jun 2, 2023 Accepting new patients
MMG Nelson Rd LLC CurrentSince Jul 1, 2017 Accepting new patients
Lake Area Physician Services LLC Past Accepting new patients

Locations

4345 Nelson Rd
Lake Charles, LA 70605
Phone (337) 480-7900

1890 W Gauthier Rd
Ste 155
Lake Charles, LA 70605
Phone (337) 477-6061

4345 Nelson Rd
Ste 102
Lake Charles, LA 70605
Phone (337) 439-2020

2750 Aster St
Lake Charles, LA 70601
Phone (337) 478-2650

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 and National Provider Directory roles.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1326295239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123594 DEPT 3594",
            "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": "4345 NELSON RD STE 102",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054183",
            "telephone_number": "337-480-7900",
            "fax_number": "337-602-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MECHE",
        "first_name": "KENDRA",
        "middle_name": "B.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-21",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "99304-5479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2339711",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AP05479",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.