Individual provider Active NPI

Kristen Alexander, FNP-C

  • Nurse Practitioner
  • Leesville, LA
National Provider Identifier
1619595337
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
214415 Issued in LA
Practice address
908 S 10TH St Ste a
Leesville, LA 71446-4614
Phone
(337) 392-2330
NPI assigned
Jul 9, 2020
Last updated
Jul 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 214415 LA Primary

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

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
I20200918000490 LA Practitioner - Nurse Practitioner 1759709033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Physical Therapy Services of West Louisiana IncGroup PAC ID 0446388763, 92 clinicians
Byrd Medical Clinic IncGroup PAC ID 2860460508, 10 clinicians

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West State Orthopedics & Sport Medicine CurrentSince Aug 1, 2020 Accepting new patients
Byrd Medical Clinic Inc CurrentSince Jul 22, 2022 Accepting new patients
SPG Capital Partners, LLC PastSince Jul 12, 2020 Accepting new patients
Orthopedic Center of la LLC PastSince Apr 1, 2007 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

500 S 6th St
Ste A
Leesville, LA 71446
Phone (337) 239-8000

506 S 6th St
Leesville, LA 71446
Phone (337) 239-0989

908 S 10th St
#A
Leesville, LA 71446
Phone (337) 392-2300

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: kristen.alexander.1@17837.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1619595337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 S 10TH ST STE A",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464614",
            "telephone_number": "337-392-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 S 10TH ST STE A",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464614",
            "telephone_number": "337-392-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "KRISTEN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "214415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

Sources for this page

Verify at the official NPI Registry.