Individual provider Active NPI

Kolt Nezat, APRN, FNP-C

  • Family Nurse Practitioner
  • Eunice, LA
National Provider Identifier
1558834150
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202434 Issued in LA
Practice address
281 Moosa Blvd
Eunice, LA 70535-3638
Phone
(337) 457-2200
NPI assigned
Jan 7, 2019
Last updated
Jan 10, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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 202434 LA Primary

Addresses

Primary practice location

281 Moosa Blvd
Eunice, LA 70535-3638

Mailing address

281 Moosa Blvd
Eunice, LA 70535-3638
Phone (337) 457-2200

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
I20200303000692 LA Practitioner - Nurse Practitioner 2769819879 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202434LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
David B. Ware, M.D., a.P.M.C. CurrentSince Feb 1, 2020 Accepting new patients

Locations

281 Moosa Blvd
Eunice, LA 70535
Phone (337) 457-2200

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, 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": "1546819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1558834150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 MOOSA BLVD",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705353638",
            "telephone_number": "337-457-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 MOOSA BLVD",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705353638",
            "telephone_number": "337-457-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEZAT",
        "first_name": "KOLT",
        "name_prefix": "Mr.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-07",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "202434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eunice, LA

Sources for this page

Verify at the official NPI Registry.