Individual provider Active NPI

Kathleen Victoria Dean, NP

  • Family Nurse Practitioner
  • Plaquemine, LA
National Provider Identifier
1538943675
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
230599 Issued in LA
Practice address
59215 River West Dr
Plaquemine, LA 70764-6552
Phone
(225) 776-1383
NPI assigned
Aug 21, 2023
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 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 230599 LA Primary

Addresses

Primary practice location

59215 River West Dr
Plaquemine, LA 70764-6552

Mailing address

24739 Keller St
Plaquemine, LA 70764-5948
Phone (225) 776-1383

Other names 1

  • Kathleen Victoria Himel Former name

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
I20240221002787 LA Practitioner - Nurse Practitioner 6709220494 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care, LLC CurrentSince Jan 27, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Jan 27, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 1, 2025 Accepting new patients

Locations

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

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

1121 Polk St
Mansfield, LA 71052
Phone (318) 575-2143

132 Well Rd
West Monroe, LA 71291
Phone (318) 217-6521

Organizations & group practices 4

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": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1538943675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24739 KELLER ST",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707645948",
            "telephone_number": "225-776-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59215 RIVER WEST DR",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707646552",
            "telephone_number": "225-776-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEAN",
        "first_name": "KATHLEEN",
        "middle_name": "VICTORIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "230599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "HIMEL",
            "middle_name": "VICTORIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plaquemine, LA

Sources for this page

Verify at the official NPI Registry.