NPIMap

Individual provider Active NPI

Keysha Raye Nabours, NP

  • Family Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1932450210
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06763 Issued in LA
Practice address
1000 Walters St
Lake Charles, LA 70607-4647
Phone
(337) 480-8066
Fax
(337) 480-8061
NPI assigned
Sep 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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 AP06763 LA Primary

Addresses

Primary practice location

1000 Walters St
Lake Charles, LA 70607-4647

Mailing address

PO Box 122108 Dept 2108
Dallas, TX 75312-2108
Phone (337) 494-2921

Other identifiers 2

IdentifierTypeStateIssuer
AP06763OtherLASTATE LICENSE
2319205MedicaidLA

Other names 1

  • Keysha Raye Alexander Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121019000050 LA Practitioner - Nurse Practitioner 5698925154 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

501 Dr Michael Debakey Dr
Lake Charles, LA 70601

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP06763LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Swlhs LLC CurrentSince May 1, 2025 Accepting new patients
Southwest Louisiana Hospital Association Inc CurrentSince Oct 1, 2017 Accepting new patients
Southwest Louisiana Hospital Association Inc CurrentSince Oct 1, 2017 Accepting new patients

Locations

1902 Johnson St
Jennings, LA 70546
Phone (337) 788-2864

1717 Oak Park Blvd
Fl 1
Lake Charles, LA 70601
Phone (337) 478-3810

2770 3rd Ave
Ste 320
Lake Charles, LA 70601
Phone (337) 494-6800

4345 Nelson Rd
Lake Charles, LA 70605
Phone (337) 480-7900

1000 Walters St
Lake Charles, LA 70607
Phone (337) 475-8687

2770 3rd Ave
Ste 300
Lake Charles, LA 70601
Phone (337) 477-6061

4345 Nelson Rd
Ste 201
Lake Charles, LA 70605
Phone (337) 494-6800

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

Organizations & group practices 4

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 10

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": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1932450210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122108 DEPT 2108",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753122108",
            "telephone_number": "337-494-2921",
            "fax_number": "337-494-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WALTERS ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706074647",
            "telephone_number": "337-480-8066",
            "fax_number": "337-480-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NABOURS",
        "first_name": "KEYSHA",
        "middle_name": "RAYE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AP06763",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2319205",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEYSHA",
            "last_name": "ALEXANDER",
            "middle_name": "RAYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.