KP Medical LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

KP MEDICAL LLC

Doing business as

Prevail Heart Clinics of America-Lafayette

Practice address

854 Kaliste Saloom Rd Ste C
Lafayette, LA 70508-4367

Phone

(337) 443-9063

Fax

(337) 443-9063

NPI assigned

Mar 18, 2019

Last updated

Apr 13, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tonia Lynne Sylvester

Title

Clinic Manager

Phone

(337) 351-5510

Specialties & licenses 2

Addresses

Other names 1

• Prevail Heart Clinics of America-Lafayette Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jermissia Latrice Henderson, ACNPC-AG

  • Acute Care Nurse Practitioner
  • Shreveport, LA
  • NPI 1679141881
  NPD (past)

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586736000000",
    "number": "1407315617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 KALISTE SALOOM RD STE C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084367",
            "telephone_number": "337-443-9063",
            "fax_number": "337-443-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 KALISTE SALOOM RD STE C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705084367",
            "telephone_number": "337-443-9063",
            "fax_number": "337-443-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KP MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A",
        "authorized_official_last_name": "SYLVESTER",
        "authorized_official_first_name": "TONIA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "337-351-5510"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prevail Heart Clinics of America-Lafayette",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prevail Heart Clinics of America-Lafayette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abhinaya Kotha, MBBS
• Kothapalli & Kothapalli LTD, Apmc
• Manjula Kothapalli, MD
• Shankaraiah R Kothapalli, M.D.,
• Joseph Mark Kowalski, MD
• Mary C. Kramer, MS, LDN, RD
• Stephen P Kramer, P.T., ATC
• Julian J. Krawczyk, M.D.
• Paul Thomas Kreamer, PT
• KRG Bayou Wellness LLC

• Cardiovascular Disease Physician in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Cardiovascular Disease Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.