Individual provider Active NPI

Kacie Blackwell, APRN

  • Family Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1427400217
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
220442 Issued in LA
Practice address
16052 Doctors Blvd
Hammond, LA 70403-1478
Phone
(985) 945-9606
Fax
(985) 345-9616
NPI assigned
Jul 6, 2016
Last updated
May 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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 ARNP9262064 FL
Family Nurse Practitioner 363LF0000X 220442 LA Primary

Addresses

Primary practice location

16052 Doctors Blvd
Hammond, LA 70403-1478

Mailing address

16052 Doctors Blvd
Hammond, LA 70403-1478
Phone (985) 345-9606

Other practice location 1

19065 Dr John Lambert Dr Ste 1200
Hammond, LA 70403-0999
Phone (985) 542-2162

Other practice location 2

22601 Highway 190 E
Robert, LA 70455-1731
Phone (985) 542-2466

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
I20240806004591 LA Practitioner - Nurse Practitioner 5799945309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Medicine Physicians LLCGroup PAC ID 8729081278, 5 clinicians

Practice addresses (Care Compare)

16052 Doctors Blvd
Hammond, LA 70403-1478
Phone 98534696063333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.95 of 100Reported as group
Quality
91.83
Promoting interoperability
100
Improvement activities
40
Cost
68

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Total Family Medical, LLC CurrentSince Mar 1, 2024 Accepting new patients
Total Family Medical, LLC PastSince Mar 1, 2024 Accepting new patients

Locations

22601 Highway 190 E
Robert, LA 70455
Phone (504) 236-5311

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.

Hospital & facility affiliations 3

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": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1427400217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16052 DOCTORS BLVD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031478",
            "telephone_number": "985-345-9606",
            "fax_number": "985-345-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16052 DOCTORS BLVD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031478",
            "telephone_number": "985-945-9606",
            "fax_number": "985-345-9616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19065 Dr John Lambert Dr Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704030999",
            "country_code": "US",
            "telephone_number": "985-542-2162",
            "fax_number": "985-318-0299",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22601 Highway 190 E",
            "address_purpose": "LOCATION",
            "city": "Robert",
            "state": "LA",
            "postal_code": "704551731",
            "country_code": "US",
            "telephone_number": "985-542-2466",
            "fax_number": "985-542-2755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "KACIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9262064",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "220442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.