Kaylee Buxton Mondrick, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

224795 Issued in LA

Practice address

11990 Jackson St
Clinton, LA 70722-3210

Phone

(225) 683-5292

Fax

(225) 683-1310

NPI assigned

May 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Care Providers for a Healthy Feliciana, IncGroup PAC ID 1052220985, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kaylee.mondrick.p1@direct.rkmprimarycare.nextgenshare.com

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.

• Primary Care Providers for a Healthy Feliciana, Inc.

  • Federally Qualified Health Center (FQHC)
  • Clinton, LA
  • NPI 1821245127

  LA

  Medicare reassignment NPD
• Primary Care Providers for a Healthy Feliciana, Inc

  • Federally Qualified Health Center (FQHC)
  • Springfield, LA
  • NPI 1326923384
  NPD
• Primary Care Providers for a Healthy Feliciana, Inc

  • Federally Qualified Health Center (FQHC)
  • Loranger, LA
  • NPI 1710427455
  NPD
• Primary Care Providers for a Healthy Feliciana Inc

  • Federally Qualified Health Center (FQHC)
  • Clinton, LA
  • NPI 1699878645
  NPD (past)
• Primary Care Providers for a Healthy Feliciana Inc

  • Federally Qualified Health Center (FQHC)
  • Livingston, LA
  • NPI 1861823379
  NPD (past)
• Primary Care Providers for a Healthy Feliciana, Inc

  • Federally Qualified Health Center (FQHC)
  • Port Allen, LA
  • NPI 1770760902
  NPD (past)
• Primary Care Providers for a Healthy Feliciana, Inc

  • Federally Qualified Health Center (FQHC)
  • Clinton, LA
  • NPI 1871692483
  NPD (past)
• Primary Care Providers for a Healthy Feliciana, Inc.

  • Federally Qualified Health Center (FQHC)
  • Jackson, LA
  • NPI 1437258043
  NPD (past)

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1972249175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 395",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707220395",
            "telephone_number": "225-683-5292",
            "fax_number": "225-683-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 JACKSON ST",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707223210",
            "telephone_number": "225-683-5292",
            "fax_number": "225-683-1310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 North Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708063743",
            "country_code": "US",
            "telephone_number": "225-381-2621",
            "fax_number": "225-387-7829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONDRICK",
        "first_name": "KAYLEE",
        "middle_name": "BUXTON",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "224795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Burns McCarley, LCSW
• Cassandra McPhate, RN
• Walker P McVea, DDS
• Mid-South Medical Supply LLC
• Michael Joseph Miller III, NP-C
• Richard Kell Munson Jr., CAC
• Ashley Hurst Myers, PTA
• Neal W. Angrum
• Neal W.Angrum
• Neal W.Angrum

• All providers in Clinton, LA
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.