Individual provider Active NPI

Debra D Khalid-Abasi, A.P.N.

  • Nurse Practitioner
  • Independence, LA
National Provider Identifier
1679514871
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1168 Issued in LA
Practice address
52579 Highway South
Lallie Kemp Hospital
Independence, LA 70443
Phone
(985) 878-9421
Fax
(985) 878-1431
NPI assigned
Jun 9, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 1168 LA Primary

Addresses

Primary practice location

52579 Highway South
Lallie Kemp Hospital
Independence, LA 70443

Mailing address

14601 Avalon Ave
Baton Rouge, LA 70816-1304
Phone (225) 273-3426

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
I20210323000393 LA Practitioner - Nurse Practitioner 2769420454 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1168LAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Satya Malur MD LLC CurrentSince Dec 17, 2020 Accepting new patients
Nath & Associates LLC CurrentSince Mar 1, 2024 Accepting new patients
Lance E Bullock, MD, a Professional Medical Corporation Past Accepting new patients

Locations

3136 S Saint Landry Ave
Gonzales, LA 70737
Phone (225) 647-7524

3138 S Saint Landry Ave
Gonzales, LA 70737
Phone (225) 647-7524

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, 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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679514871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14601 AVALON AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708161304",
            "telephone_number": "225-273-3426",
            "fax_number": "985-878-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52579 HIGHWAY SOUTH",
            "address_2": "LALLIE KEMP HOSPITAL",
            "city": "INDEPENDENCE",
            "state": "LA",
            "postal_code": "70443",
            "telephone_number": "985-878-9421",
            "fax_number": "985-878-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHALID-ABASI",
        "first_name": "DEBRA",
        "middle_name": "D",
        "credential": "A.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "1168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, LA

Sources for this page

Verify at the official NPI Registry.