Individual provider Active NPI

Kristen Williams Lasseigne, MSN, ACNPC-AG

  • Acute Care Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1912468083
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
204155 Issued in LA
Practice address
2804 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906
Phone
(337) 981-5156
Fax
(337) 981-0673
NPI assigned
Mar 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 204155 LA
Gerontology Nurse Practitioner 363LG0600X 204155 LA
Acute Care Nurse Practitioner 363LA2100X 204155 LA Primary

Addresses

Primary practice location

2804 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906

Mailing address

2804 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906
Phone (337) 981-5156

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
I20190529002296 LA Practitioner - Nurse Practitioner 1759624067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2309 E Main St
Suite 101
New Iberia, LA 70560-4063
Phone (337) 364-3301

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.1 of 100Reported as group
Quality
87.66
Promoting interoperability
90
Improvement activities
40
Cost
87.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204155LAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iberia Anesthesia Associates, L.L.C. CurrentSince May 1, 2020 Accepting new patients
Iberia Gastroenterology Associates, Inc. a Professional Medical Corpor CurrentSince May 1, 2020 Accepting new patients

Locations

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

803 Albertson Pkwy
Broussard, LA 70518
Phone (337) 364-3301

2804 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 981-5156

2309 E Main St
Ste 101
New Iberia, LA 70560
Phone (337) 364-3301

516 Jefferson Ter
Ste 100
New Iberia, LA 70560
Phone (337) 364-5310

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFDFBA

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.

Hospital & facility affiliations 4

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": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1912468083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705065906",
            "telephone_number": "337-981-5156",
            "fax_number": "337-981-0673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2804 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705065906",
            "telephone_number": "337-981-5156",
            "fax_number": "337-981-0673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LASSEIGNE",
        "first_name": "KRISTEN",
        "middle_name": "WILLIAMS",
        "credential": "MSN, ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "204155",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "LA",
            "license": "204155",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "204155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.