Individual provider Active NPI

Kimberly Bates, FNP

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1790107530
Registry record updated Jan 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07596 Issued in LA
Practice address
2222 Simon Bolivar Ave Ste 200
New Orleans, LA 70113-1470
Phone
(504) 571-1607
NPI assigned
Jan 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP07596 LA Primary

Addresses

Primary practice location

2222 Simon Bolivar Ave Ste 200
New Orleans, LA 70113-1470

Mailing address

7 Bello St
La Place, LA 70068-8406

Other identifiers 1

IdentifierTypeStateIssuer
AP07596OtherLAAPRN

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
I20150121000299 LA Practitioner - Nurse Practitioner 0143544254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maxem Health Urgent Care HammondGroup PAC ID 3375824295, 7 clinicians

Practice addresses (Care Compare)

2741 W Thomas St a
Hammond Urgent Care LLC
Hammond, LA 70401-2838
Phone (985) 542-2299

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lafourche Parish Hospital Service District No.1 CurrentSince Jan 1, 2015 Accepting new patients
Maxem Health Urgent Care Hammond CurrentSince Jun 21, 2024 Accepting new patients

Locations

200 W 134th Pl
Cut Off, LA 70345
Phone (985) 325-9300

2741 W Thomas St
Ste A
Hammond, LA 70401
Phone (985) 542-2299

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1790107530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BELLO ST",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700688406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 SIMON BOLIVAR AVE STE 200",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701131470",
            "telephone_number": "504-571-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "KIMBERLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "AP07596",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.