Individual provider Active NPI

Suzette Gallien Kingston, M.D.

  • Pediatrics Physician
  • Metairie, LA
National Provider Identifier
1639310618
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.204923 Issued in LA
Practice address
2017 Metairie Rd
Metairie, LA 70005-3832
Phone
(504) 832-8022
Fax
(504) 832-8044
NPI assigned
Mar 20, 2009
Last updated
May 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD.204923 LA Primary

Addresses

Primary practice location

2017 Metairie Rd
Metairie, LA 70005-3832

Mailing address

2017 Metairie Rd
Metairie, LA 70005-3832
Phone (504) 832-8022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.204923LAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keith a. Collins MD LLC Pediatrics Past Accepting new patients
Sprout Pediatrics, LLC Pediatrics PastSince Feb 1, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1639310618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 METAIRIE RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053832",
            "telephone_number": "504-832-8022",
            "fax_number": "504-832-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 METAIRIE RD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053832",
            "telephone_number": "504-832-8022",
            "fax_number": "504-832-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSTON",
        "first_name": "SUZETTE",
        "middle_name": "GALLIEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-03-20",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "MD.204923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.