Individual provider Active NPI

Herbert Kevin Coates Jr., MSN, FNP-C

  • Family Nurse Practitioner
  • Oakdale, LA
National Provider Identifier
1770020380
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09140 Issued in LA
Practice address
502 Hospital Dr
Oakdale, LA 71463-3043
Phone
(318) 335-2000
NPI assigned
Jan 22, 2017
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP144234 TX
Family Nurse Practitioner 363LF0000X AP09140 LA Primary

Addresses

Primary practice location

502 Hospital Dr
Oakdale, LA 71463-3043

Mailing address

502 Hospital Dr
Oakdale, LA 71463-3043

Other practice location 1

4128 Maison Rdg
Dallas, TX 75219-3044
Phone (214) 233-5802

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
I20170802000146 LA Practitioner - Nurse Practitioner 3971874470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Menavry LLCGroup PAC ID 6608008297, 6 clinicians

Practice addresses (Care Compare)

502 Hospital Dr
Oakdale, LA 71463-3043
Phone (318) 335-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP144234TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Menavry LLC CurrentSince May 2, 2017 Accepting new patients
Keleac Ventures LLC Nurse Practitioner PastSince Jul 7, 2024 Accepting new patients

Locations

502 Hospital Dr
Oakdale, LA 71463
Phone (318) 335-2000

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1485043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1770020380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 HOSPITAL DR",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "714633043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 HOSPITAL DR",
            "city": "OAKDALE",
            "state": "LA",
            "postal_code": "714633043",
            "telephone_number": "318-335-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4128 Maison Rdg",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752193044",
            "country_code": "US",
            "telephone_number": "214-233-5802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COATES",
        "first_name": "HERBERT",
        "middle_name": "KEVIN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-22",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP144234",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, LA

Sources for this page

Verify at the official NPI Registry.