Individual provider Active NPI

Kayla Mouch Richoux

  • Family Nurse Practitioner
  • Port Allen, LA
National Provider Identifier
1962910836
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09741 Issued in LA
Practice address
610 N Jefferson Ave
Port Allen, LA 70767-2414
Phone
(225) 267-6626
NPI assigned
Jan 13, 2018
Last updated
Jan 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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 AP09741 LA Primary

Addresses

Primary practice location

610 N Jefferson Ave
Port Allen, LA 70767-2414

Mailing address

610 N Jefferson Ave
Port Allen, LA 70767-2414
Phone (225) 267-6626

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
I20180416000154 LA Practitioner - Nurse Practitioner 0749543213 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

610 N Jefferson Ave
Baton Rouge General Physicians Family Medic
Port Allen, LA 70767-2414
Phone (225) 267-6626

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
74.57
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Medical Center Family Medicine CurrentSince Feb 12, 2018 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Feb 12, 2018 Accepting new patients
Baton Rouge General Physicians, Inc. Family Medicine Current Accepting new patients
Baton Rouge General Physicians, Inc. Family Medicine Past Accepting new patients

Locations

9001 Summa Ave
Ste 448
Baton Rouge, LA 70809

610 N Jefferson Ave
Port Allen, LA 70767
Phone (225) 267-6626

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1515801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1962910836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N JEFFERSON AVE",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "707672414",
            "telephone_number": "225-267-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N JEFFERSON AVE",
            "city": "PORT ALLEN",
            "state": "LA",
            "postal_code": "707672414",
            "telephone_number": "225-267-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHOUX",
        "first_name": "KAYLA",
        "middle_name": "MOUCH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-13",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Allen, LA

Sources for this page

Verify at the official NPI Registry.