Active NPI
Kenneth D Fletcher III, MSN,APRN,ANP-C
- Occupational Health Clinical Nurse Specialist
- Lake Charles, LA
National Provider Identifier
1578877684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Clinical Nurse Specialist
- License
- AP05451
- Practice address
- 1106 Ryan St
Lake Charles, LA 70601-5252 - Phone
- (337) 497-9355
- Fax
- (337) 437-3692
- NPI assigned
- Jul 30, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Health Clinical Nurse Specialist | 364SX0106X | AP05451 | LA | Primary |
Addresses
Primary practice location
1106 Ryan St
Lake Charles, LA 70601-5252
Mailing address
1106 Ryan St
Lake Charles, LA 70601-5252
Phone (337) 497-9355
Other practice location 1
299 N Cities Service Hwy Ste B
Sulphur, LA 70663-7503
Phone (337) 626-1011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calcasieu Parish Police Jury | Past | Accepting new patients | |
| Paraoccdocs, LLC | Past | Accepting new patients |
Interoperability endpoints
- kenneth.fletcher@catc.eclinicaldirectplus.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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Lake Charles, LA
- NPI 1518202902
-
- Specialist
- Sulphur, LA
- NPI 1578722559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1558396800000",
"number": "1578877684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1106 RYAN ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015252",
"telephone_number": "337-497-9355",
"fax_number": "337-437-3692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1106 RYAN ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015252",
"telephone_number": "337-497-9355",
"fax_number": "337-437-3692"
}
],
"practiceLocations": [
{
"address_1": "299 N Cities Service Hwy Ste B",
"address_purpose": "LOCATION",
"city": "Sulphur",
"state": "LA",
"postal_code": "706637503",
"country_code": "US",
"telephone_number": "337-626-1011",
"fax_number": "337-626-0656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLETCHER",
"first_name": "KENNETH",
"middle_name": "D",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "MSN,APRN,ANP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-30",
"last_updated": "2019-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "364SX0106X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Occupational Health",
"state": "LA",
"license": "AP05451",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.