Individual provider Active NPI

Kathryn Patricia Gorham, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1982587713
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
242670 Issued in LA
Practice address
1423 S Chateau Cir
Lake Charles, LA 70605-1341
Phone
(337) 244-0414
NPI assigned
Jul 29, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 242670 LA Primary

Addresses

Primary practice location

1423 S Chateau Cir
Lake Charles, LA 70605-1341

Mailing address

1423 S Chateau Cir
Lake Charles, LA 70605-1341
Phone (337) 244-0414

Other practice location 1

2520 N University Ave
Lafayette, LA 70507-5306
Phone (337) 244-0414

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
I20260504006836 LA Practitioner - Nurse Practitioner 1153899612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1423 S Chateau Cir
Lake Charles, LA 70605-1341

2837 Ernest St
Suite C
Lake Charles, LA 70601-8785

909 Poydras St
Suite 1500
New Orleans, LA 70112-1010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
242670LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
KPG Solutions LLC Psychiatric/Mental Health CurrentSince Aug 3, 2025 Accepting new patients

Locations

2520 N University Ave
Lafayette, LA 70507
Phone (337) 234-5614

Organizations & group practices 2

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": "1753747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1982587713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 S CHATEAU CIR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706051341",
            "telephone_number": "337-244-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 S CHATEAU CIR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706051341",
            "telephone_number": "337-244-0414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2520 N University Ave",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705075306",
            "country_code": "US",
            "telephone_number": "337-244-0414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORHAM",
        "first_name": "KATHRYN",
        "middle_name": "PATRICIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-29",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "242670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.