Organization Active NPI

Katherine Perkins LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Zachary, LA
National Provider Identifier
1851163091
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
KATHERINE PERKINS LLC
Practice address
1215 Independence Blvd BLDG 5
Zachary, LA 70791-7390
Phone
(225) 278-5754
NPI assigned
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Mrs. Katherine Lee Perkins, PMHNP-BCNPI 1942676911
Title
Owner
Phone
(225) 278-5754

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Pediatric Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0200X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1215 Independence Blvd BLDG 5
Zachary, LA 70791-7390

Mailing address

1215 Independence Blvd BLDG 5
Zachary, LA 70791-7390
Phone (225) 376-2128

Other names 1

  • Zachary Psychiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240523000367 LA Part B Supplier - Clinic/Group Practice 0749622603 Receives reassigned benefits from 1 practitioner
Practice locations: Zachary, LA

National Provider Directory

National Provider Directory

Locations

1215 Independence Blvd
Ste 5B
Zachary, LA 70791
Phone (225) 399-7905

1215 Independence Blvd
Bldg 5
Zachary, LA 70791
Phone (225) 278-5754

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1851163091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 INDEPENDENCE BLVD BLDG 5",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917390",
            "telephone_number": "225-376-2128",
            "fax_number": "866-493-3436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 INDEPENDENCE BLVD BLDG 5",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917390",
            "telephone_number": "225-278-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE PERKINS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-278-5754",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zachary Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Zachary Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Zachary, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.