Active NPI
Kaleigh Marie Stephenson, FNP-C
- Family Nurse Practitioner
- Minden, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 213833
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008174503 | Other | LA | LOUISIANA 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 213833 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minden Physician Practices LLC | Current | Accepting new patients | |
| Homer Memorial Hospital | Current | Accepting new patients | |
| CLHG-Ruston LLC | Current | Accepting new patients | |
| Minden Physician Practices LLC | Current | Accepting new patients | |
| Homer Memorial Hospital | Current | Accepting new patients | |
| CLHG-Ruston LLC | Current | Accepting new patients | |
| Minden Physician Practices LLC | Current | 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
- minksteph@yourcarecommunity.org
- 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.
-
- Rural Health Clinic/Center
- Ruston, LA
- NPI 1346904885
-
- Rehabilitation Hospital Unit
- Ruston, LA
- NPI 1770368920
-
- General Acute Care Hospital
- Ruston, LA
- NPI 1962024026
-
- Family Medicine Physician
- Ruston, LA
- NPI 1942181276
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Homer, LA
- NPI 1306441175
-
- Rural Health Clinic/Center
- Haughton, LA
- NPI 1699392589
-
- Obstetrics & Gynecology Physician
- Minden, LA
- NPI 1821370891
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 LLCCLHG-Ruston LLC
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
- Northern Louisiana Medical Center
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.