Katherine Basiliere, MSN NP
Individual provider Active NPI Family Nurse Practitioner · Luling, LA
NPI 1336277136 · NPPES record last updated Sep 22, 2017
Key facts
- NPI
- 1336277136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP08479 (LA)
- Practice address
- 843 Milling Ave
Luling, LA 70070-4442 - Phone
- (504) 575-3712
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of California, San Diego School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Access Health Louisiana
Practice addresses (Care Compare)
3300 S Broad St
New Orleans, LA 70125-2942
Phone (504) 575-3712
Hospital & facility affiliations
- Freedom Home Health and Hospice Care Services, Inc
- Butte Home Health and Hospice
- Oroville Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060224000628 | CA | Practitioner - Nurse Practitioner | 7315953510 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 394939 | CA | MD | Family Nurse Practitioner |
| AP08479 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Healthcare Network | Current |
Accepting new patients | |
| Family Healthcare Network | Current |
Accepting new patients |
Locations
9416 Road 238
Terra Bella, CA 93270
Phone (559) 741-4500
501 N Bridge St
Visalia, CA 93291
Phone (559) 734-1939
305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 394939 | CA | |
| Family Nurse Practitioner | 363LF0000X | 12868 | CA | |
| Family Nurse Practitioner | 363LF0000X | AP08479 | LA | Yes |
Addresses
Primary practice location
843 Milling Ave
Luling, LA 70070-4442
Mailing address
2900 Indiana Avenue
Kenner, LA 70065-4605
Phone (504) 575-2712
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2413317 | Medicaid | LA |
Other providers in Luling, LA
- Mason Dominic Arnette
- Jacqueline Jean Atallah
- Marissa Aucoin Crifasi
- Peggy Ayala
- Lauren Denise Bartholomew
- Monica Vial Benson
- Cheryl Suzanne Berman-Beaver
- Bryan Bertucci
- Lindsey Bienvenu
- Alexis Black
All providers in Luling, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.