Individual provider Active NPI

Kimberly Hackney Laborde, FNP-C

  • Family Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1902117781
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN068284-AP06152 Issued in LA
Practice address
201 4TH St Ste 4-B
Alexandria, LA 71301-8421
Phone
(318) 449-8600
Fax
(318) 449-1461
NPI assigned
Jun 28, 2010
Last updated
Jun 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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 RN068284-AP06152 LA Primary

Addresses

Primary practice location

201 4TH St Ste 4-B
Alexandria, LA 71301-8421

Mailing address

201 4TH St # 30127
Alexandria, LA 71301-8421
Phone (318) 449-8600

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
I20100715000788 LA Practitioner - Nurse Practitioner 4880726595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Northwestern University Feinberg Medical School, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Cenla Occupational Medicine ServicesGroup PAC ID 0143460055, 3 clinicians

Practice addresses (Care Compare)

3221 Military Hwy
Pineville, LA 71360-4226
Phone (318) 787-0610

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN068284-AP06152LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cenla Occupational Medicine Services Family CurrentSince Apr 1, 2023 Accepting new patients

Locations

3221 Military Hwy
Pineville, LA 71360
Phone (318) 613-7101

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1902117781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 4TH ST # 30127",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-449-8600",
            "fax_number": "318-449-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 4TH ST STE 4-B",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-449-8600",
            "fax_number": "318-449-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LABORDE",
        "first_name": "KIMBERLY",
        "middle_name": "HACKNEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN068284-AP06152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.