Individual provider Active NPI

Kaleigh Marie Stephenson, FNP-C

  • Family Nurse Practitioner
  • Minden, LA
National Provider Identifier
1336764604
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
213833 Issued in LA
Practice address
102 S Monroe St Ste B
Minden, LA 71055-3357
Phone
(318) 382-7290
Fax
(318) 382-7292
NPI assigned
Jun 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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 213833 LA Primary

Addresses

Primary practice location

102 S Monroe St Ste B
Minden, LA 71055-3357

Mailing address

102 S Monroe St Ste B
Minden, LA 71055-3357
Phone (318) 382-7290

Other identifiers 1

IdentifierTypeStateIssuer
008174503OtherLALOUISIANA STATE DRIVERS LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200708001950 LA Practitioner - Nurse Practitioner 4486077591 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213833LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minden Physician Practices LLC CurrentSince Jun 1, 2020 Accepting new patients
Homer Memorial Hospital CurrentSince Apr 1, 2021 Accepting new patients
CLHG-Ruston LLC CurrentSince Aug 3, 2025 Accepting new patients
Minden Physician Practices LLC Current Accepting new patients
Homer Memorial Hospital CurrentSince Apr 1, 2021 Accepting new patients
CLHG-Ruston LLC CurrentSince Aug 3, 2025 Accepting new patients
Minden Physician Practices LLC CurrentSince Jun 1, 2020 Accepting new patients
CLHG-Ruston LLC Past Accepting new patients

Locations

926 Frances Dr
Haynesville, LA 71038
Phone (318) 624-0554

104 Morris Cir
Homer, LA 71040
Phone (318) 927-1110

620 E College St
Homer, LA 71040
Phone (318) 927-2024

102 S Monroe St
#B
Minden, LA 71055
Phone (318) 382-7290

1111 Homer Rd
Minden, LA 71055
Phone (318) 377-7500

2 Medical Plaza Pl
Minden, LA 71055
Phone (318) 377-6500

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

411 E Vaughn Ave
Ste 104
Ruston, LA 71270
Phone (318) 254-2453

Interoperability endpoints

  • Direct secure messaging: minksteph@yourcarecommunity.org
  • Direct secure messaging: kaleigh.stephenson.1@26990.direct.athenahealth.com

Organizations & group practices 12

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 2

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Louisiana LLC 140 clinicians
CLHG-Ruston LLC 24 clinicians

Practice addresses (Care Compare)

2900 Westfork Dr
Suite 401
Baton Rouge, LA 70827-0004
Phone (877) 260-4747

411 E Vaughn Ave
Suite 104
Ruston, LA 71270-5975
Phone 31825424535975

Hospital & facility affiliations

  • Claiborne Memorial Medical Center Hospital, Homer, LA, CCN 190114
  • Northern Louisiana Medical Center Hospital, Ruston, LA, CCN 190086

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1336764604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S MONROE ST STE B",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553357",
            "telephone_number": "318-382-7290",
            "fax_number": "318-382-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S MONROE ST STE B",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553357",
            "telephone_number": "318-382-7290",
            "fax_number": "318-382-7292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "KALEIGH",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "213833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA STATE DRIVERS LIC",
            "identifier": "008174503",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, LA

Sources for this page

Verify at the official NPI Registry.