Individual provider Active NPI

Kemoshia Brandon, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1972964740
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08476 Issued in LA
Practice address
2115 Fitzenreiter Rd
Lake Charles, LA 70601-1139
Phone
(337) 439-0880
NPI assigned
Mar 8, 2016
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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 AP08476 LA Primary

Addresses

Primary practice location

2115 Fitzenreiter Rd
Lake Charles, LA 70601-1139

Mailing address

2115 Fitzenreiter Rd
Lake Charles, LA 70601-1139
Phone (337) 439-0880

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
I20190423002253 LA Practitioner - Nurse Practitioner 4183966112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hulin Urgent Care Services LLCGroup PAC ID 6800051285, 135 clinicians

Practice addresses (Care Compare)

3829 Ryan St
Suite 300
Lake Charles, LA 70605-2815
Phone (337) 399-0001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP08476LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hulin Urgent Care Services LLC CurrentSince Oct 21, 2025 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Oct 21, 2025 Accepting new patients
Christus Health Southwestern Louisiana Past Accepting new patients

Locations

3829 Ryan St
Ste 300
Lake Charles, LA 70605
Phone (337) 399-0001

1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166

Organizations & group practices 3

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": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1972964740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 FITZENREITER RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706011139",
            "telephone_number": "337-439-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 FITZENREITER RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706011139",
            "telephone_number": "337-439-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDON",
        "first_name": "KEMOSHIA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-08",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.