Individual provider Active NPI

Andre' Fontenot-Knapp, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1407859937
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP03457 Issued in LA
Practice address
4809 Ambassador Caffery Pkwy Ste 420
Lafayette, LA 70508-8802
Phone
(337) 470-6498
NPI assigned
May 30, 2005
Last updated
Mar 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 87008-3457 LA
Family Nurse Practitioner 363LF0000X AP03457 LA Primary

Addresses

Primary practice location

4809 Ambassador Caffery Pkwy Ste 420
Lafayette, LA 70508-8802

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (337) 470-6498

Other practice location 1

501 Dr Michael DeBakey Dr
Lake Charles, LA 70601-5724
Phone (337) 433-8400

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
I20080118000162 LA Practitioner - Nurse Practitioner 6709967516 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lourdes Physician Group LLCGroup PAC ID 7214177757, 157 clinicians

Practice addresses (Care Compare)

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2990

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87008-3457LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Concern for AIDS Relief Education and Support, Inc. CurrentSince Aug 15, 2022 Accepting new patients
Patrick J. Welch, M.D. (a Professional Medical Corporation) CurrentSince Oct 15, 2011 Accepting new patients
Acadiana Concern for AIDS Relief Education and Support, Inc. Current Accepting new patients
Imperial Health LLP Past Accepting new patients

Locations

200 Beaullieu Dr
Ste 1
Lafayette, LA 70508
Phone (337) 289-6808

809 Mlk Dr
Lafayette, LA 70501
Phone (337) 233-2437

Interoperability endpoints

  • Direct secure messaging: andrek@acadianacares.ssdirect.aprima.com

Organizations & group practices 5

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": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1407859937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "337-470-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 AMBASSADOR CAFFERY PKWY STE 420",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705088802",
            "telephone_number": "337-470-6498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Dr Michael DeBakey Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706015724",
            "country_code": "US",
            "telephone_number": "337-433-8400",
            "fax_number": "337-497-1173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTENOT-KNAPP",
        "first_name": "ANDRE'",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-30",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "87008-3457",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP03457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.