Active NPI
Kacey Lynn Dupre, D.C.
- Chiropractor
- Opelousas, LA
National Provider Identifier
1982978458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1633
- Practice address
- 417 W Tennis St
Opelousas, LA 70570-4986 - Phone
- (337) 381-0377
- Fax
- (337) 381-0376
- NPI assigned
- Mar 1, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1633 | LA | Primary |
Addresses
Primary practice location
417 W Tennis St
Opelousas, LA 70570-4986
Mailing address
417 W Tennis St
Opelousas, LA 70570-4986
Phone (337) 381-0377
Other names 1
- Kacey Lynn Deshotels
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1633 | LA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379635200000",
"number": "1982978458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 W TENNIS ST",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705704986",
"telephone_number": "337-381-0377",
"fax_number": "337-381-0376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 W TENNIS ST",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705704986",
"telephone_number": "337-381-0377",
"fax_number": "337-381-0376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPRE",
"first_name": "KACEY",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-01",
"last_updated": "2013-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KACEY",
"last_name": "DESHOTELS",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Opelousas, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.