Individual provider Active NPI

Kristin Cutrer Lea

  • Adult Health Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1457522211
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP05260 Issued in LA
Practice address
15770 Paul Vega Dirve
Hammond, LA 70403
Phone
(985) 542-1226
NPI assigned
Mar 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP05260 LA Primary

Addresses

Primary practice location

15770 Paul Vega Dirve
Hammond, LA 70403

Mailing address

15770 Paul Vega Dirve
Hammond, LA 70403

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
I20111212000174 LA Practitioner - Nurse Practitioner 2365617800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robert B. Kidd MD ApmcGroup PAC ID 3274673504, 2 clinicians

Practice addresses (Care Compare)

15770 Paul Vega MD Dr
Hammond, LA 70403-1475

42439 Pelican Professional Park
Hammond, LA 70403-2405
Phone (985) 542-1226

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Robert B. Kidd MD Apmc CurrentSince Nov 2, 2011 Accepting new patients

Locations

15770 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 542-1226

42439 Pelican Professional Park
Hammond, LA 70403
Phone (985) 542-1226

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/uc32329_robertbkiddmdapmc

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1457522211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15770 PAUL VEGA DIRVE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15770 PAUL VEGA DIRVE",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403",
            "telephone_number": "985-542-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEA",
        "first_name": "KRISTIN",
        "middle_name": "CUTRER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP05260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.