Individual provider Active NPI

Randee Kidder, APRN-FNP-C

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1962820134
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07732 Issued in LA
Practice address
8585 Picardy Ave Ste 317
Baton Rouge, LA 70809-3749
Phone
(225) 387-7077
Fax
(225) 442-5088
NPI assigned
Apr 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 AP07732 LA Primary

Addresses

Primary practice location

8585 Picardy Ave Ste 317
Baton Rouge, LA 70809-3749

Mailing address

8490 Picardy Ave Ste 200
Baton Rouge, LA 70809-3733
Phone (225) 237-1790

Other practice location 1

8490 Picardy Ave
Ste. 200
Baton Rouge, LA 70809-3731
Phone (225) 921-9147

Other identifiers 2

IdentifierTypeStateIssuer
2359541MedicaidLA
AP07732OtherLANURSE PRACTIONER LICENSE

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
I20140606000883 LA Practitioner - Nurse Practitioner 3072737394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baton Rouge General Medical CenterGroup PAC ID 4082600077, 58 clinicians

Practice addresses (Care Compare)

8585 Picardy Ave
Suite 313
Baton Rouge, LA 70809-3749
Phone (225) 387-7077

Hospital & facility affiliations

  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065

Merit-based Incentive Payment System (MIPS)

Final score
78.3 of 100Reported as group
Quality
57.21
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP07732LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Medical Center Current Accepting new patients
Baton Rouge General Medical Center Nurse Practitioner CurrentSince Oct 1, 2019 Accepting new patients
Baton Rouge General Medical Center Past Accepting new patients

Locations

8490 Picardy Ave
Ste 200
Baton Rouge, LA 70809
Phone (225) 237-1754

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

8585 Picardy Ave
Ste 313
Baton Rouge, LA 70809
Phone (225) 381-2755

8585 Picardy Ave
Ste 412
Baton Rouge, LA 70809
Phone (225) 387-7916

8490 Picardy Ave
Ste 600
Baton Rouge, LA 70809
Phone (225) 763-4445

10101 Park Rowe Ave
Ste 200
Baton Rouge, LA 70810
Phone (225) 768-2164

8595 Picardy Ave
Ste 100
Baton Rouge, LA 70809
Phone (225) 763-4900

8585 Picardy Ave
Ste 318
Baton Rouge, LA 70809
Phone (225) 333-3800

8585 Picardy Ave
Ste 317
Baton Rouge, LA 70809
Phone (225) 387-7077

8595 Picardy Ave
Ste 400
Baton Rouge, LA 70809
Phone (225) 333-3800

17520 Old Jefferson Hwy
Ste B
Prairieville, LA 70769
Phone (225) 673-8983

14105 Highway 73
Ste 200
Prairieville, LA 70769
Phone (225) 588-1753

Organizations & group practices 8

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 6

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": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1962820134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8490 PICARDY AVE STE 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093733",
            "telephone_number": "225-237-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8585 PICARDY AVE STE 317",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093749",
            "telephone_number": "225-387-7077",
            "fax_number": "225-442-5088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8490 Picardy Ave",
            "address_2": "STE. 200",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708093731",
            "country_code": "US",
            "telephone_number": "225-921-9147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIDDER",
        "first_name": "RANDEE",
        "credential": "APRN-FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2359541",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTIONER LICENSE",
            "identifier": "AP07732",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.