Individual provider Active NPI

Kathryn Beauchamp Reed, CPNP-PC

  • Pediatric Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1699974832
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP05225 Issued in LA
Practice address
4707 Ambassador Caffery Parkway
2ND Floor
Lafayette, LA 70508
Phone
(337) 470-5920
Fax
(855) 431-6867
NPI assigned
Jul 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP05225 LA Primary

Addresses

Primary practice location

4707 Ambassador Caffery Parkway
2ND Floor
Lafayette, LA 70508

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (337) 470-5920

Other practice location 1

101 Rue Fontaine Bldg 2
Lafayette, LA 70508-5744
Phone (337) 484-1414

Other practice location 2

4707 Ambassador Caffery Parkway
Lafayette, LA 70508
Phone (337) 470-5920

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
I20130402000043 LA Practitioner - Nurse Practitioner 3476634270 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC Nurse Practitioner CurrentSince Jan 10, 2024 Accepting new patients
Acadiana Allergy, Asthma and Immunology Center, LLC CurrentSince May 1, 2022 Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Jan 10, 2024 Accepting new patients
Lourdes Physician Group LLC Nurse Practitioner CurrentSince Feb 17, 2024 Accepting new patients
Our Lady of the Lake Physician Group LLC Nurse Practitioner Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

4704 Ambassador Caffery Pkwy
Fl 2
Lafayette, LA 70508
Phone (337) 371-3101

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

101 Rue Fontaine
Bldg 2
Lafayette, LA 70508
Phone (337) 484-1414

300 Rue Beauregard
Ste F
Lafayette, LA 70508
Phone (337) 270-8585

Interoperability endpoints

  • Direct secure messaging: kreed5242491@direct.casso.us.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1699974832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "337-470-5920",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 AMBASSADOR CAFFERY PARKWAY",
            "address_2": "2ND FLOOR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-470-5920",
            "fax_number": "855-431-6867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Rue Fontaine Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705085744",
            "country_code": "US",
            "telephone_number": "337-484-1414",
            "fax_number": "337-233-3188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4707 Ambassador Caffery Parkway",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "70508",
            "country_code": "US",
            "telephone_number": "337-470-5920",
            "fax_number": "855-431-6867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "KATHRYN",
        "middle_name": "BEAUCHAMP",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "AP05225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.