Active NPI
James Allen Kindred, PAC
- Physician Assistant
- Baton Rouge, LA
National Provider Identifier
1861412165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- A10156RX
- Practice address
- 9001 Summa Ave
Baton Rouge, LA 70809-3726 - Phone
- (225) 761-5667
- Fax
- (225) 761-5247
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | A10156RX | LA | Primary |
Addresses
Primary practice location
9001 Summa Ave
Baton Rouge, LA 70809-3726
Mailing address
9001 Summa Ave
Baton Rouge, LA 70809-3726
Phone (225) 761-5667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1779474 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A10156RX | LA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419984000000",
"number": "1861412165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9001 SUMMA AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093726",
"telephone_number": "225-761-5667",
"fax_number": "225-761-5247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9001 SUMMA AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093726",
"telephone_number": "225-761-5667",
"fax_number": "225-761-5247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINDRED",
"first_name": "JAMES",
"middle_name": "ALLEN",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2014-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "A10156RX",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1779474",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.