Active NPI
Kyla Elizabeth Reed, PA-C
- Physician Assistant
- Crowley, LA
National Provider Identifier
1629809090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 343131
- Practice address
- 1305 Crowley Rayne Hwy
Crowley, LA 70526-8202 - Phone
- (337) 783-3222
- NPI assigned
- Aug 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 343131 | LA | Primary |
Addresses
Primary practice location
1305 Crowley Rayne Hwy
Crowley, LA 70526-8202
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other practice location 1
2810 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906
Phone (337) 981-2949
Other practice location 2
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241017001708 | LA | Practitioner - Physician Assistant | 1153853908 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1629809090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "800-893-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 CROWLEY RAYNE HWY",
"city": "CROWLEY",
"state": "LA",
"postal_code": "705268202",
"telephone_number": "337-783-3222"
}
],
"practiceLocations": [
{
"address_1": "2810 Ambassador Caffery Pkwy",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "LA",
"postal_code": "705065906",
"country_code": "US",
"telephone_number": "337-981-2949",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1214 Coolidge Blvd",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "LA",
"postal_code": "705032621",
"country_code": "US",
"telephone_number": "337-289-7991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REED",
"first_name": "KYLA",
"middle_name": "ELIZABETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-08",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "343131",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crowley, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.