Karen Hartely Kerrigan, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

81902-03958 Issued in LA

Practice address

323 W Walnut Ave
Bastrop, LA 71220-4521

Phone

(318) 283-3600

NPI assigned

Mar 5, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.yourcareuniverse.net/tenant/5c9c3d79-6b2c-4465-a5ab-001ebd43fba3

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.

• Morehouse General Hospital

  • Multi-Specialty Clinic/Center
  • Bastrop, LA
  • NPI 1790966638
  Medicare reassignment NPD
• Morehouse General Hospital

  • Rural Health Clinic/Center
  • Bastrop, LA
  • NPI 1992207294
  NPD
• Morehouse General Hospital

  • General Acute Care Hospital
  • Bastrop, LA
  • NPI 1003898313
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1376672337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1060",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712211060",
            "telephone_number": "318-283-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W WALNUT AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204521",
            "telephone_number": "318-283-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2913 Desiard St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "71201",
            "country_code": "US",
            "telephone_number": "318-651-9945 x114",
            "fax_number": "318-410-0680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERRIGAN",
        "first_name": "KAREN",
        "middle_name": "HARTELY",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-05",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "81902-03958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1128210",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas K Keller III, DDS
• Carolyn Kelly-Jones, LCSW
• Andrew Perry Kelly, PHARMD
• Chastity Kennedy
• Javia Kennedy, PA-C
• Destinee Keys
• Rachel Kirgis
• Sharon Marie Korn, RPH
• Monique Kyles
• Ditoephia Lacour

• Pediatric Nurse Practitioner in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Pediatric Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.