NPIMap

Individual provider Active NPI

Kristy Huggins Harrison, PAC

  • Surgical Physician Assistant
  • Baton Rouge, LA
National Provider Identifier
1629213178
Registry record updated Apr 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA.200085 Issued in LA
Practice address
8230 Summa Ave Ste C
Baton Rouge, LA 70809-3465
Phone
(225) 757-0552
Fax
(225) 763-9997
NPI assigned
Dec 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA.200085 LA Primary

Addresses

Primary practice location

8230 Summa Ave Ste C
Baton Rouge, LA 70809-3465

Mailing address

8230 Summa Ave Ste C
Baton Rouge, LA 70809-3465
Phone (225) 757-0552

Other identifiers 1

IdentifierTypeStateIssuer
1887277MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090320000067 LA Practitioner - Physician Assistant 6901963800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates LLCGroup PAC ID 8628041464, 83 clinicians

Practice addresses (Care Compare)

100 Womans Way
Baton Rouge, LA 70817-5100
Phone (225) 924-8267

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 487-1122

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (225) 757-0552

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 757-0552

6300 Main St
Zachary, LA 70791-4037
Phone (225) 658-4000

Hospital & facility affiliations

  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064
  • Lane Regional Medical Center Hospital, Zachary, LA, CCN 190020
  • Christus St Frances Cabrini Hospital Hospital, Alexandria, LA, CCN 190019
  • Womans Hospital Hospital, Baton Rouge, LA, CCN 190128
  • Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.200085LAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund Past Accepting new patients
St. Elizabeth Imaging LLC Past Accepting new patients
Our Lady of the Lake Physician Group LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kharrison23081@womanshospital.direct-ci.com

Organizations & group practices 4

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.

Hospital & facility affiliations 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429056000000",
    "number": "1629213178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8230 SUMMA AVE STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093465",
            "telephone_number": "225-757-0552",
            "fax_number": "225-763-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8230 SUMMA AVE STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093465",
            "telephone_number": "225-757-0552",
            "fax_number": "225-763-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "KRISTY",
        "middle_name": "HUGGINS",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-12",
        "last_updated": "2015-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "LA",
            "license": "PA.200085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1887277",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.