Individual provider Active NPI

Kristen Loupe Plaisance, NP-C

  • Family Nurse Practitioner
  • Houma, LA
National Provider Identifier
1518289230
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06045 Issued in LA
Practice address
1022 Belanger St
Houma, LA 70360-4412
Phone
(985) 868-1561
Fax
(985) 868-5795
NPI assigned
Feb 22, 2010
Last updated
Apr 5, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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 AP06045 LA Primary

Addresses

Primary practice location

1022 Belanger St
Houma, LA 70360-4412

Mailing address

PO Box 4137
Houma, LA 70361-4137
Phone (985) 868-1561

Other identifiers 1

IdentifierTypeStateIssuer
2119664MedicaidLA

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
I20111213000449 LA Practitioner - Nurse Practitioner 1052586492 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Women's OB-GYN Health & Wellness Center, Apmc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kristen.plaisance@la014.digichart.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1518289230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4137",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703614137",
            "telephone_number": "985-868-1561",
            "fax_number": "985-868-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 BELANGER ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604412",
            "telephone_number": "985-868-1561",
            "fax_number": "985-868-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAISANCE",
        "first_name": "KRISTEN",
        "middle_name": "LOUPE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2119664",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.