Individual provider Active NPI

Kathryn Regan Hall Baker, PA

  • Medical Physician Assistant
  • Baton Rouge, LA
National Provider Identifier
1669753216
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA200477 Issued in LA
Practice address
9103 Jefferson Hwy
Baton Rouge, LA 70809-2440
Phone
(225) 927-1190
Fax
(225) 706-0160
NPI assigned
Sep 8, 2011
Last updated
Nov 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA200477 LA Primary

Addresses

Primary practice location

9103 Jefferson Hwy
Baton Rouge, LA 70809-2440

Mailing address

9103 Jefferson Hwy
Baton Rouge, LA 70809-2440
Phone (225) 927-1190

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
I20111005000772 LA Practitioner - Physician Assistant 1557533080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.05 of 100Reported as group
Quality
82.12
Promoting interoperability
100
Improvement activities
40
Cost
71.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA200477LAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants PLLC CurrentSince May 27, 2018 Accepting new patients
Lsuhn Billing LLC CurrentSince Jul 1, 2018 Accepting new patients
Texas Digestive Disease Consultants, PLLC Past Accepting new patients
Our Lady of the Lake Physician Group LLC Physician Assistant Past Accepting new patients

Locations

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

5131 Odonovan Dr
Ste 400
Baton Rouge, LA 70808

9032 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 358-4853

9103 Jefferson Hwy
Baton Rouge, LA 70809
Phone (225) 927-1190

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

764 N Acadia Rd
Ste A
Thibodaux, LA 70301
Phone (985) 446-1958

Interoperability endpoints

  • Direct secure messaging: n44baker@dhcla.directbygreenway.com

Organizations & group practices 5

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": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415318400000",
    "number": "1669753216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9103 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092440",
            "telephone_number": "225-927-1190",
            "fax_number": "225-706-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9103 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092440",
            "telephone_number": "225-927-1190",
            "fax_number": "225-706-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKER",
        "first_name": "KATHRYN",
        "middle_name": "REGAN HALL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2014-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA200477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.