Katie Porche LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

KATIE PORCHE LLC

Practice address

814 Fortune Rd Ste 108
Youngsville, LA 70592-5542

Phone

(337) 573-4132

Fax

(337) 573-4161

NPI assigned

Oct 30, 2019

Organization subpart

No

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

Authorized official

Name

Katie Porche, PMHNP-BCNPI 1447801766

Title

Primary Provider

Phone

(337) 573-4132

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katie N Porche, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Youngsville, LA
  • NPI 1447801766
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661644800000",
    "number": "1972147205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 RUE FONTAINE",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085742",
            "telephone_number": "337-806-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 FORTUNE RD STE 108",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925542",
            "telephone_number": "337-573-4132",
            "fax_number": "337-573-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE PORCHE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-30",
        "last_updated": "2022-08-28",
        "certification_date": "2022-08-28",
        "status": "A",
        "authorized_official_last_name": "PORCHE",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "PRIMARY PROVIDER",
        "authorized_official_telephone_number": "337-573-4132",
        "authorized_official_credential": "PMHNP-BC"
    },
    "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": []
}

• Kahlaya Naki Julien
• Katherine Broussard Juneau, LCSW, BACS
• Tailer R Juneau
• Scott Kane
• Kathryn Giglio Strother MD Apmllc
• Hayley Shook Kennedy, SLP
• Kiyasha Lashae Kenny
• Keys to Communication, L.L.C.
• Mohammad Ali Khan, M.D.
• Ashley Hartley Kidd, M.S., CCC-SLP

• Psychiatric/Mental Health Nurse Practitioner in Youngsville, LA
• Providers in Youngsville, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2022; 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.