Individual provider Active NPI

Kaye P. Gaspard, N.P.

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1356544548
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APO04771 Issued in LA
Practice address
340 Kaliste Saloom Rd Ste H
Lafayette, LA 70508-3859
Phone
(337) 235-0575
Fax
(337) 504-2289
NPI assigned
Jun 6, 2007
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 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 APO04771 LA Primary

Addresses

Primary practice location

340 Kaliste Saloom Rd Ste H
Lafayette, LA 70508-3859

Mailing address

340 Kaliste Saloom Rd Ste H
Lafayette, LA 70508-3859
Phone (337) 235-0575

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
I20141008000645 LA Practitioner - Nurse Practitioner 3274753504 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APO04771LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lux Med Spa, LLC CurrentSince Dec 1, 2020 Accepting new patients
Kenneth L. Odinet MD, ASC-LLC Past Accepting new patients

Locations

340 Kaliste Saloom Rd
Ste H
Lafayette, LA 70508
Phone (337) 235-0575

1901 Chemin Metairie Pkwy
Ste 2
Youngsville, LA 70592
Phone (337) 451-4817

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.

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1356544548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 KALISTE SALOOM RD STE H",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083859",
            "telephone_number": "337-235-0575",
            "fax_number": "337-504-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 KALISTE SALOOM RD STE H",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083859",
            "telephone_number": "337-235-0575",
            "fax_number": "337-504-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASPARD",
        "first_name": "KAYE",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APO04771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.