Individual provider Active NPI

Kenisha Voncille Thomas, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1609359165
Registry record updated Jul 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
215783 Issued in LA
Practice address
5825 Magazine St
New Orleans, LA 70115-3218
Phone
(504) 583-3230
Fax
(763) 402-7649
NPI assigned
Sep 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 816281 NV
Family Medicine Physician 207Q00000X 816281 NV
Nurse Practitioner 363L00000X NP95009368 CA
Family Nurse Practitioner 363LF0000X AP215783 LA
Gastroenterology Physician 207RG0100X AP138473 TX
Nurse Practitioner 363L00000X AP138473 TX
Family Nurse Practitioner 363LF0000X 4704439077 MI
General Practice Physician 208D00000X 95009368 CA
Family Medicine Physician 207Q00000X 95009368 CA
General Practice Physician 208D00000X 816281 NV
Family Nurse Practitioner 363LF0000X 215783 LA Primary
Occupational Health Nurse Practitioner 363LX0106X 816281 NV
Primary Care Nurse Practitioner 363LP2300X 816281 NV

Addresses

Primary practice location

5825 Magazine St
New Orleans, LA 70115-3218

Mailing address

2117 Veterans Memorial Blvd # 201
Metairie, LA 70002-6321
Phone (504) 610-5194

Other practice location 1

1140 N State St
Saint Ignace, MI 49781-1048
Phone (303) 390-1940

Other practice location 2

1485 W Warm Springs Rd Ste 109B
Henderson, NV 89014-7632
Phone (725) 230-7765

Other practice location 3

107 Medical Cir
Sulphur Springs, TX 75482-2138
Phone (903) 885-1770

Other practice location 4

11801 South Fwy
Burleson, TX 76028-7021
Phone (817) 293-9110

Other identifiers 1

IdentifierTypeStateIssuer
1609359165MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, LA, TX, MI4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20181214001982 CA Practitioner - Nurse Practitioner 7911242268 Reassigns benefits to 2 organizations
I20220726000410 LA Practitioner - Nurse Practitioner 7911242268 Reassigns benefits to 5 organizations
I20240918000950 TX Practitioner - Nurse Practitioner 7911242268 Reassigns benefits to 1 organization
I20260204001220 MI Practitioner - Nurse Practitioner 7911242268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, 141 clinicians
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians
Hulin Urgent Care Services LLCGroup PAC ID 6800051285, 135 clinicians

Practice addresses (Care Compare)

1140 N State St
Saint Ignace, MI 49781-1048
Phone (906) 643-7999

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

650 E Lennon Dr
Christus Trinity Clinic
Emory, TX 75440-3227
Phone (903) 473-7234

8440 W Judge Perez Dr
Chalmette, LA 70043-1616
Phone (337) 465-4600

Hospital & facility affiliations

  • Mackinac Straits Hospital and Health Center Hospital, Saint Ignace, MI, CCN 231306
  • Touro Infirmary Hospital, New Orleans, LA, CCN 190046

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
94.26
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95009368CAMDNurse Practitioner
AP215783LAMDFamily Nurse Practitioner
4704439077MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicas del Camino Real Inc Current Accepting new patients
Apogee Medical Group, Louisiana, Inc. CurrentSince Feb 1, 2024 Accepting new patients
St. Johns Community Health CurrentSince May 1, 2025 Accepting new patients
Foucher Emergency Group LLC Nurse Practitioner CurrentSince Aug 1, 2025 Accepting new patients
Rural Physicians Group-Pannu PLLC Family Medicine CurrentSince Jan 29, 2026 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Nov 3, 2025 Accepting new patients
St. Johns Community Health CurrentSince May 1, 2025 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Nov 3, 2025 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Jan 17, 2024 Accepting new patients
Calcasieu Cameron Hospital Medicine Group LLC CurrentSince Feb 7, 2025 Accepting new patients
St. Johns Community Health Current Accepting new patients
Christus Trinity Clinic Texas Family Medicine CurrentSince Oct 30, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Oct 30, 2024 Accepting new patients
Clinicas del Camino Real Inc CurrentSince Jan 17, 2024 Accepting new patients
Coastal Urgent Care, LLC General Practice CurrentSince Nov 3, 2025 Accepting new patients
St. Johns Community Health Past Accepting new patients

Locations

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

801 Cooper Rd
Oxnard, CA 93030
Phone (805) 330-8100

1821 S San Jacinto Ave
Ste D
San Jacinto, CA 92583
Phone 32328598302332

500 E Main St
Santa Paula, CA 93060
Phone (805) 933-0895

1500 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 381-1591

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

8440 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 596-9520

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

1124 S Burnside Ave
Ste 100A
Gonzales, LA 70737
Phone (225) 644-5503

1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

5620 Read Blvd
New Orleans, LA 70127
Phone (504) 241-2664

971 Robert Blvd
Slidell, LA 70458
Phone (985) 690-8300

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466

805 W Cedar St
Standish, MI 48658
Phone (989) 846-3500

107 Medical Cir
Sulphur Springs, TX 75482
Phone (903) 885-1770

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: kenisha.thomas.p2@direct.hvvmg.nextgenshare.com
  • Direct secure messaging: kthomas427171@christushealth.direct-ci.net
  • Direct secure messaging: kenisha.thomas.p1@direct.cmcentersinc.nextgenshare.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785024000000",
    "number": "1609359165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 VETERANS MEMORIAL BLVD # 201",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026321",
            "telephone_number": "504-610-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 MAGAZINE ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153218",
            "telephone_number": "504-583-3230",
            "fax_number": "763-402-7649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 N State St",
            "address_purpose": "LOCATION",
            "city": "Saint Ignace",
            "state": "MI",
            "postal_code": "497811048",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1485 W Warm Springs Rd Ste 109B",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890147632",
            "country_code": "US",
            "telephone_number": "725-230-7765",
            "fax_number": "763-402-7649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Medical Cir",
            "address_purpose": "LOCATION",
            "city": "Sulphur Springs",
            "state": "TX",
            "postal_code": "754822138",
            "country_code": "US",
            "telephone_number": "903-885-1770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11801 South Fwy",
            "address_purpose": "LOCATION",
            "city": "Burleson",
            "state": "TX",
            "postal_code": "760287021",
            "country_code": "US",
            "telephone_number": "817-293-9110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KENISHA",
        "middle_name": "VONCILLE",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2026-07-26",
        "certification_date": "2026-07-26",
        "status": "A"
    },
    "taxonomies": [
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            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "816281",
            "primary": false
        },
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            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
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            "license": "816281",
            "primary": false
        },
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            "license": "NP95009368",
            "primary": false
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            "license": "AP215783",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
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            "license": "AP138473",
            "primary": false
        },
        {
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        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704439077",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "95009368",
            "primary": false
        },
        {
            "code": "207Q00000X",
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            "desc": "Family Medicine",
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            "license": "95009368",
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        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NV",
            "license": "816281",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
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        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
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            "license": "816281",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NV",
            "license": "816281",
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        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609359165",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.