Active NPI
Kimberly Jourdan, FNP
- Women's Health Nurse Practitioner
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 212143
- Practice address
- 2390 W Congress St
Lafayette, LA 70506 - Phone
- (337) 888-5787
- NPI assigned
- Sep 20, 2023
- Last updated
- Sep 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 212143 | LA | Primary |
Addresses
Primary practice location
2390 W Congress St
Lafayette, LA 70506
Mailing address
221 Garnet Dr
Opelousas, LA 70570-1260
Phone (337) 888-5787
Other practice location 1
221 Garnet Dr
Opelousas, LA 70570-1260
Phone (337) 888-5787
Other names 1
- Ms. Kimberly Collins
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2390 W Congress St
Lafayette, LA 70506-4205
Phone (337) 261-6000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 212143 | LA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Hospital & Clinics, Inc. | Current | Accepting new patients | |
| University Hospital & Clinics Inc | Current | Accepting new patients | |
| Lsumc University Medical Center | Past | Accepting new patients |
Locations
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
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.
-
- Anesthesiology Physician
- Lafayette, LA
- NPI 1639518087
-
dba University Hospital & Clinics OutPatient Pharmacy
- Community/Retail Pharmacy
- Lafayette, LA
- NPI 1740739044
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1629015573
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
-
dba Ochsner University Hospital & Clinics
- General Acute Care Hospital
- Lafayette, LA
- NPI 1306281126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1760260780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 GARNET DR",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705701260",
"telephone_number": "337-888-5787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2390 W CONGRESS ST",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "70506",
"telephone_number": "337-888-5787"
}
],
"practiceLocations": [
{
"address_1": "221 Garnet Dr",
"address_purpose": "LOCATION",
"city": "Opelousas",
"state": "LA",
"postal_code": "705701260",
"country_code": "US",
"telephone_number": "337-888-5787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOURDAN",
"first_name": "KIMBERLY",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-20",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "LA",
"license": "212143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "COLLINS",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lafayette, LA
- Lawrence Edwin Joseph
- Marrion Sinegal Joseph
- Michael Joseph, MOT,LOTR
- Niolette Joseph
- Treveion A Joseph Sr.
- Chanda Malone Journet
- Journey Hospice of Southwest Louisiana, LLC
- Juan J Perez Ruiz M.D. a Professional Medical Corporation
- Juan J Perez Ruiz MD a Professional Medical Corporation
- Anna Elizabeth Juarez, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.