Individual provider Active NPI

Kristen Hanks, NP

  • Family Nurse Practitioner
  • Jennings, LA
National Provider Identifier
1477961464
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07789 Issued in LA
Practice address
1636 Elton Rd
Suite 204
Jennings, LA 70546-3648
Phone
(337) 824-7833
Fax
(337) 824-7834
NPI assigned
Jul 23, 2014
Last updated
Jul 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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 AP07789 LA Primary

Addresses

Primary practice location

1636 Elton Rd
Suite 204
Jennings, LA 70546-3648

Mailing address

1636 Elton Rd
Suite 204
Jennings, LA 70546-3648
Phone (337) 824-7833

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
I20150109000109 LA Practitioner - Nurse Practitioner 9133442627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1322 Elton Rd
Suite P
Jennings, LA 70546-4100
Phone (337) 824-2282

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edwards Family Medicine a Professional Medical Corporation CurrentSince Oct 13, 2014 Accepting new patients
Edwards Family Medicine a Professional Medical Corporation Past Accepting new patients
Segura Family Medicine PastSince Aug 1, 2010 Accepting new patients

Locations

1322 Elton Rd
Ste P
Jennings, LA 70546
Phone (337) 494-3278

1636 Elton Rd
Ste 204
Jennings, LA 70546
Phone (337) 654-0871

Interoperability endpoints

  • FHIR API: https://fhir.healthtogo.me/fhir/r4/imed.efm

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 1

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": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1477961464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 ELTON RD",
            "address_2": "SUITE 204",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463648",
            "telephone_number": "337-824-7833",
            "fax_number": "337-824-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 ELTON RD",
            "address_2": "SUITE 204",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705463648",
            "telephone_number": "337-824-7833",
            "fax_number": "337-824-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKS",
        "first_name": "KRISTEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jennings, LA

Sources for this page

Verify at the official NPI Registry.