Individual provider Active NPI

Kiley Comeaux Caletri, FNP-C

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1376249276
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
229391 Issued in LA
Practice address
1223 Camellia Blvd Ste 100
Lafayette, LA 70508-7220
Phone
(337) 270-9093
NPI assigned
Feb 1, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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 229391 LA Primary

Addresses

Primary practice location

1223 Camellia Blvd Ste 100
Lafayette, LA 70508-7220

Mailing address

1223 Camellia Blvd Ste 100
Lafayette, LA 70508-7220
Phone (337) 270-9093

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
I20230223000049 LA Practitioner - Nurse Practitioner 5193198166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Hospital and Clinics, Inc.Group PAC ID 7113161977, 81 clinicians

Practice addresses (Care Compare)

2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000

Hospital & facility affiliations

  • Ochsner University Hospital and Clinics Hospital, Lafayette, LA, CCN 190006
  • Acadia General Hospital Hospital, Crowley, LA, CCN 190044

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospital & Clinics Inc CurrentSince Aug 26, 2024 Accepting new patients
University Hospital & Clinics, Inc. CurrentSince Aug 26, 2024 Accepting new patients
Jaime M. Cordova, M.D., Apmc CurrentSince Jan 30, 2023 Accepting new patients
University Hospital & Clinics, Inc. Past Accepting new patients

Locations

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

1100 Bertrand Dr
Lafayette, LA 70506
Phone (337) 261-8500

1223 Camellia Blvd
Ste 100
Lafayette, LA 70508
Phone (337) 270-9093

1223 Camellia Blvd
Lafayette, LA 70508

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1376249276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 CAMELLIA BLVD STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087220",
            "telephone_number": "337-270-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 CAMELLIA BLVD STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087220",
            "telephone_number": "337-270-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALETRI",
        "first_name": "KILEY",
        "middle_name": "COMEAUX",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "229391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.