Individual provider Active NPI

Kandice King, APRN, FNP-C

  • Nurse Practitioner
  • Westlake, LA
National Provider Identifier
1629448154
Registry record updated Sep 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP08500 Issued in LA
Practice address
2201 Old Spanish TRL
Westlake, LA 70669-7800
Phone
(337) 494-5150
NPI assigned
Sep 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2015

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 AP08500 LA Primary

Addresses

Primary practice location

2201 Old Spanish TRL
Westlake, LA 70669-7800

Mailing address

3357 Highway 108 W
Sulphur, LA 70665-8462

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
I20210909000132 LA Practitioner - Nurse Practitioner 3173929676 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP08500LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Health LLP CurrentSince Mar 24, 2025 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Aug 26, 2021 Accepting new patients
Imperial Health, LLP CurrentSince Mar 24, 2025 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Aug 26, 2021 Accepting new patients
Upperline Healthcare, PC Nurse Practitioner CurrentSince Nov 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Nov 1, 2025 Accepting new patients
Workforce Medical Center Past Accepting new patients

Locations

387 W Railroad Ave
Independence, LA 70443
Phone (931) 256-1110

2000 Southwood Dr
Lake Charles, LA 70605
Phone (337) 474-2682

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

501 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8258

132 Well Rd
West Monroe, LA 71291
Phone (318) 217-6521

Organizations & group practices 11

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calcasieu Urgent Care LLC 132 clinicians
Imperial Health LLP 75 clinicians

Practice addresses (Care Compare)

1429 Beglis Pkwy
Sulphur, LA 70663-5603
Phone (337) 528-8000

2640 Country Club Rd
Suite 400
Lake Charles, LA 70605-6079
Phone (337) 426-0919

3439 Hwy 1256
Sulphur, LA 70665-8817
Phone (337) 607-0037

501 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone (337) 433-8400

NPI Registry JSON

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

{
    "created_epoch": "1443312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443312000000",
    "number": "1629448154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3357 HIGHWAY 108 W",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706658462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 OLD SPANISH TRL",
            "city": "WESTLAKE",
            "state": "LA",
            "postal_code": "706697800",
            "telephone_number": "337-494-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KANDICE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-27",
        "last_updated": "2015-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP08500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, LA

Sources for this page

Verify at the official NPI Registry.