NPIMap

Organization Active NPI

Kite Clinic LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1952064966
Registry record updated Oct 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
KITE CLINIC LLC
Practice address
312 Guilbeau Rd Ste 3C
Lafayette, LA 70506-6953
Phone
(337) 273-0352
Fax
(318) 460-0339
NPI assigned
Oct 17, 2021
Last updated
Oct 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2021

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

Authorized official

Name
Laura Kight, APRNNPI 1205351137
Title
Owner
Phone
(337) 273-0352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

312 Guilbeau Rd Ste 3C
Lafayette, LA 70506-6953

Mailing address

203 Luce Dr
Lafayette, LA 70506-2862
Phone (337) 781-0384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211229000949 LA Part B Supplier - Clinic/Group Practice 7315338340 Receives reassigned benefits from 8 practitioners
Practice locations: Lafayette, LA

National Provider Directory

National Provider Directory

Locations

312 Guilbeau Rd
Ste 3C
Lafayette, LA 70506
Phone (337) 273-0352

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1634428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634428800000",
    "number": "1952064966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 LUCE DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705062862",
            "telephone_number": "337-781-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 GUILBEAU RD STE 3C",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705066953",
            "telephone_number": "337-273-0352",
            "fax_number": "318-460-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KITE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-17",
        "last_updated": "2021-10-17",
        "certification_date": "2021-10-17",
        "status": "A",
        "authorized_official_last_name": "KIGHT",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-273-0352",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.