Organization Active NPI

Krewe of Kids, LLC

Doing business as Krewe of Kids Pediatrics

  • Pediatrics Physician
  • New Orleans, LA
National Provider Identifier
1659886935
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
KREWE OF KIDS, LLC
Doing business as
Krewe of Kids Pediatrics
Practice address
101 W Robert E Lee Blvd Ste 202
New Orleans, LA 70124-2459
Phone
(504) 226-5739
Fax
(504) 322-2695
NPI assigned
Dec 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Dr. Veronica Garibaldi Lewis, MDNPI 1871763987
Title
Owner/Medical Director
Phone
(504) 606-2098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

101 W Robert E Lee Blvd Ste 202
New Orleans, LA 70124-2459

Mailing address

101 W Robert E Lee Blvd Ste 202
New Orleans, LA 70124-2459
Phone (504) 226-5739

Other identifiers 1

IdentifierTypeStateIssuer
1508268MedicaidLA

Other names 1

  • Krewe of Kids Pediatrics Doing business as

National Provider Directory

National Provider Directory

Locations

6600 Franklin Ave
Ste A2
New Orleans, LA 70122
Phone (504) 444-2395

101 W Robert E Lee Blvd
Ste 202
New Orleans, LA 70124
Phone (504) 226-5739

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1659886935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W ROBERT E LEE BLVD STE 202",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701242459",
            "telephone_number": "504-226-5739",
            "fax_number": "504-322-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W ROBERT E LEE BLVD STE 202",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701242459",
            "telephone_number": "504-226-5739",
            "fax_number": "504-322-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREWE OF KIDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "GARIBALDI",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "504-606-2098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508268",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Krewe of Kids Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.