Individual provider Active NPI

Kristi Crochet Rabalais, NP

  • Pediatric Nurse Practitioner
  • Port Allen, LA
National Provider Identifier
1689095432
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP07666 Issued in LA
Practice address
4463 La Highway 1 S
Suite a
Port Allen, LA 70767-5989
Phone
(225) 448-5307
Fax
(225) 687-6669
NPI assigned
Dec 20, 2013
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP07666 LA Primary
Pediatric Nurse Practitioner 363LP0200X RN104995AP07666 LA

Addresses

Primary practice location

4463 La Highway 1 S
Suite a
Port Allen, LA 70767-5989

Mailing address

4463 Hwy 1 S Ste a
Port Allen, LA 70767-5990
Phone (225) 448-5307

Other practice location 1

402 N Vaughan Dr
Brusly, LA 70719-2225
Phone (225) 448-5321

Other practice location 2

5444 Burbank Dr
Baton Rouge, LA 70820-4011
Phone (225) 388-6630

Other identifiers 1

IdentifierTypeStateIssuer
2359690MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address krabalais6938@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

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
I20140527000559 LA Practitioner - Nurse Practitioner 7315160058 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP07666LAMDPediatric Nurse Practitioner
RN104995AP07666LAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Jul 25, 2025 Accepting new patients
Our Lady of the Lake Physician Group LLC Nurse Practitioner CurrentSince Apr 6, 2014 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Apr 6, 2014 Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 25, 2025 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC PastSince Mar 17, 2024 Accepting new patients
Our Lady of the Lake Physician Group LLC Nurse Practitioner Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

17050 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 754-5117

2051 Silverside Dr
Ste 260
Baton Rouge, LA 70808
Phone (225) 490-6301

402 N Vaughan Dr
Brusly, LA 70719
Phone (225) 749-2645

1514 Jefferson Hwy
New Orleans, LA 70121

4463 Hwy 1 S
Ste A
Port Allen, LA 70767
Phone (225) 448-5307

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Interoperability endpoints

  • Direct secure messaging: krabalais2443131@direct.ochsner.org
  • Direct secure messaging: krabalais6938@direct.casso.us.com

Organizations & group practices 8

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": "1387497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1689095432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4463 HWY 1 S STE A",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "707675990",
            "telephone_number": "225-448-5307",
            "fax_number": "225-687-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4463 LA HIGHWAY 1 S",
            "address_2": "SUITE A",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "707675989",
            "telephone_number": "225-448-5307",
            "fax_number": "225-687-6669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "402 N Vaughan Dr",
            "address_purpose": "LOCATION",
            "city": "Brusly",
            "state": "LA",
            "postal_code": "707192225",
            "country_code": "US",
            "telephone_number": "225-448-5321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5444 Burbank Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708204011",
            "country_code": "US",
            "telephone_number": "225-388-6630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABALAIS",
        "first_name": "KRISTI",
        "middle_name": "CROCHET",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-20",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "AP07666",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "RN104995AP07666",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2359690",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krabalais6938@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "krabalais6938@direct.casso.us.com",
            "address_1": "402 N Vaughan Dr",
            "city": "Brusly",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707192225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "402 N Vaughan Dr",
            "city": "Brusly",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707192225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Allen, LA

Sources for this page

Verify at the official NPI Registry.