Kristen Alexander, FNP-C
Individual provider Active NPI Nurse Practitioner · Leesville, LA
NPI 1619595337 · NPPES record last updated Jul 9, 2020
Key facts
- NPI
- 1619595337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 214415 (LA)
- Practice address
- 908 S 10TH St Ste a
Leesville, LA 71446-4614 - Phone
- (337) 392-2330
- NPI assigned
- Jul 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Physical Therapy Services of West Louisiana Inc
Byrd Medical Clinic Inc
Practice addresses (Care Compare)
301 W Fertitta Blvd
Suite 4
Leesville, LA 71446-4665
Phone (337) 238-9931
500 S 6TH St
Leesville, LA 71446-4470
Phone (337) 239-8000
Hospital & facility affiliations
- Byrd Regional Hospital
- Beauregard Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200918000490 | LA | Practitioner - Nurse Practitioner | 1759709033 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214415 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Byrd Medical Clinic Inc | Current |
Accepting new patients | |
| West State Orthopedics & Sport Medicine | Current |
Accepting new patients | |
| SPG Capital Partners, LLC | Past |
Accepting new patients |
Locations
1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278
500 S 6th St
Leesville, LA 71446
Phone (337) 239-7227
908 S 10th St
#A
Leesville, LA 71446
Phone (337) 392-2300
506 S 6th St
Leesville, LA 71446
Phone (337) 239-0989
500 S 6th St
Ste A
Leesville, LA 71446
Phone (337) 239-8000
Interoperability endpoints
- kristen.alexander.1@17837.direct.athenahealth.com
- https://fhir.meditouchehr.com/api/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 214415 | LA | Yes |
Addresses
Primary practice location
908 S 10TH St Ste a
Leesville, LA 71446-4614
Mailing address
908 S 10TH St Ste a
Leesville, LA 71446-4614
Phone (337) 392-2330
Other providers in Leesville, LA
- Aelc Leesville Optical, LLC
- Jamillia Afeluyi
- Agape Ear Nose & Throat Clinic PC
- Alammar Medical Clinic
- Christina Alessi
- Raven Alexander
- Alexandria Eye and Laser Center, LLC
- Alexandria Vamc
- Allegiance Hospice Care of West Central Louisiana LLC
- Allison O'Dea Physical Therapy, LLC
All providers in Leesville, LA · Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.