Kallie R Lebourgeois, AU.D.

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

7586 Issued in LA

Practice address

8080 Bluebonnet Blvd
Suite 2121
Baton Rouge, LA 70810-7827

Phone

(225) 408-6734

Fax

(225) 766-3851

NPI assigned

Apr 5, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Louisiana Ear, Nose, and Throat Specialists, Inc.Group PAC ID 0042313504, 65 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

60.95 of 100Reported as group

Quality

35.55

Promoting interoperability

88

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Louisiana Ear, Nose, & Throat Specialists, Inc.

  • Otolaryngology Physician
  • Thibodaux, LA
  • NPI 1083713101
  Medicare reassignment Care Compare group NPD
• Louisiana Ear, Nose, Throat & Sinus, LLC

  • Otolaryngology Physician
  • Baton Rouge, LA
  • NPI 1114483872
  Medicare reassignment NPD
• Fyzical of Baton Rouge, LLC

  • Physical Therapist
  • Baton Rouge, LA
  • NPI 1255994539
  NPD (past)

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1699208868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 N ACADIA RD STE 101",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014897",
            "telephone_number": "985-446-5079",
            "fax_number": "985-447-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 BLUEBONNET BLVD",
            "address_2": "SUITE 2121",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708107827",
            "telephone_number": "225-408-6734",
            "fax_number": "225-766-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOURGEOIS",
        "first_name": "KALLIE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "LA",
            "license": "7586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tayla Brenee Leblanc
• Maura Lebleu
• Tyler Lebouef, MD
• Erin O'Friel Lebourgeois, APRN, NNP
• Herbert W Lebourgeois III, M.D.
• Linda Lebourgeois, MD
• Margot Lebourgeois, MPAS, PA-C
• Diana Marie Lebreton, O.D.
• Monica Lebron
• Hannah Marie Lecompte, RDN, LDN

• Audiologist-Hearing Aid Fitter in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Audiologist-Hearing Aid Fitter in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.