Individual provider Active NPI

Kasey Thompson, APRN

  • Nurse Practitioner
  • Rayville, LA
National Provider Identifier
1942514385
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN106553 Issued in LA
Practice address
111 Ellington Dr
Rayville, LA 71269-3632
Phone
(318) 728-4181
NPI assigned
Jul 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TAP002425 LA
Nurse Practitioner 363L00000X RN106553 LA Primary

Addresses

Primary practice location

111 Ellington Dr
Rayville, LA 71269-3632

Mailing address

254 Highway 3048
Rayville, LA 71269-3624
Phone (318) 728-4181

Other identifiers 1

IdentifierTypeStateIssuer
2130196MedicaidLA

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
I20101102000320 LA Practitioner - Nurse Practitioner 3072707272 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN106553LAMDNurse Practitioner
TAP002425LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Parish Hospital Service District No 1-B Family CurrentSince Sep 1, 2019 Accepting new patients
Richland Parish Hospital Service District No. 1-B CurrentSince Sep 1, 2019 Accepting new patients
Richland Parish Hospital Service District No 1-B Current Accepting new patients

Locations

111 Ellington Dr
Rayville, LA 71269
Phone (318) 387-2687

254 Highway 3048
Rayville, LA 71269
Phone (318) 728-4181

5975 Federal 80 Hwy
Rayville, LA 71269
Phone (318) 728-4368

256 Highway 3048
Rayville, LA 71269
Phone (318) 728-2046

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1942514385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 HIGHWAY 3048",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712693624",
            "telephone_number": "318-728-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ELLINGTON DR",
            "city": "RAYVILLE",
            "state": "LA",
            "postal_code": "712693632",
            "telephone_number": "318-728-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "KASEY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "TAP002425",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "RN106553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2130196",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rayville, LA

Sources for this page

Verify at the official NPI Registry.