Active NPI
Kristen Hanks, NP
- Family Nurse Practitioner
- Jennings, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP07789
- 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, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edwards Family Medicine a Professional Medical Corporation | Current | Accepting new patients | |
| Edwards Family Medicine a Professional Medical Corporation | Past | Accepting new patients | |
| Segura Family Medicine | Past | 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
- 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.
-
- Rural Health Clinic/Center
- Jennings, LA
- NPI 1619236569
-
- Family Medicine Physician
- Jennings, LA
- NPI 1164203931
-
- Family Medicine Physician
- Jennings, LA
- NPI 1528379351
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ochsner American Legion Hospital
- General Acute Care Hospital
- Jennings, LA
- NPI 1184373268
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.