Individual provider Active NPI

Kaylii Melancon Jewell, RN, BSN, CNOR, RNFA

  • Registered Nurse First Assistant
  • Baton Rouge, LA
National Provider Identifier
1689978975
Registry record updated Jan 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
RN103777 Issued in LA
Practice address
5233 Dijon Dr
Baton Rouge, LA 70808-4692
Phone
(225) 766-2166
Fax
(225) 766-2164
NPI assigned
Jan 1, 2011
Last updated
Jan 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X RN103777 LA Primary

Addresses

Primary practice location

5233 Dijon Dr
Baton Rouge, LA 70808-4692

Mailing address

14321 Ventress Rd
Ventress, LA 70783-4005
Phone (225) 978-3754

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN103777LAMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Jewell Surgical Services, Apnc Registered Nurse First Assistant Past Accepting new patients

Organizations & group practices 1

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": "1293840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293840000000",
    "number": "1689978975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14321 VENTRESS RD",
            "city": "VENTRESS",
            "state": "LA",
            "postal_code": "707834005",
            "telephone_number": "225-978-3754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 DIJON DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084692",
            "telephone_number": "225-766-2166",
            "fax_number": "225-766-2164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEWELL",
        "first_name": "KAYLII",
        "middle_name": "MELANCON",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, CNOR, RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-01",
        "last_updated": "2011-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "LA",
            "license": "RN103777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2011; 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.