Individual provider Active NPI

Kristy Lynn Macklin, NP

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1427623826
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
219383 Issued in LA
Practice address
801 Harding Blvd
Baton Rouge, LA 70807-5326
Phone
(225) 771-4500
NPI assigned
May 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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 219383 LA Primary

Addresses

Primary practice location

801 Harding Blvd
Baton Rouge, LA 70807-5326

Mailing address

801 Harding Blvd
Baton Rouge, LA 70807-5326
Phone (225) 771-4500

Other practice location 1

7777 Hennessy Blvd Ste 709
Baton Rouge, LA 70808-4366
Phone (225) 765-7735

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
I20210807000152 LA Practitioner - Nurse Practitioner 6608270020 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7777 Hennessy Blvd
Suite 709
Baton Rouge, LA 70808-4366
Phone (225) 765-7735

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care LLC CurrentSince Oct 4, 2023 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Aug 1, 2021 Accepting new patients
Our Lady of the Lake Physician Group LLC Nurse Practitioner Current Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Oct 4, 2023 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Dec 10, 2024 Accepting new patients
Satya Malur MD LLC CurrentSince Apr 1, 2022 Accepting new patients
Our Lady of the Lake Physician Group LLC Nurse Practitioner Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

7777 Hennessy Blvd
Ste 709
Baton Rouge, LA 70808
Phone (225) 765-7735

280A Rees St
Breaux Bridge, LA 70517
Phone (337) 294-0701

300 Florida Ave SE
Denham Springs, LA 70726
Phone (225) 523-6022

3136 S Saint Landry Ave
Gonzales, LA 70737
Phone (225) 647-7524

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 7

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 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": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1427623826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 HARDING BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708075326",
            "telephone_number": "225-771-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HARDING BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708075326",
            "telephone_number": "225-771-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7777 Hennessy Blvd Ste 709",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708084366",
            "country_code": "US",
            "telephone_number": "225-765-7735",
            "fax_number": "225-765-9937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKLIN",
        "first_name": "KRISTY",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "219383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.