Kenneth Lane Gary, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN094922-AP04928 Issued in LA

Practice address

701 Cypress St
Sulphur, LA 70663-5053

Phone

(337) 527-4270

Fax

(337) 527-4288

NPI assigned

Feb 19, 2007

Last updated

Mar 9, 2015By the provider in NPPES

Sex

Male

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lake Charles Urgent CareGroup PAC ID 1052580644, 14 clinicians

Lcuc Family Physicians Urgent Care LLCGroup PAC ID 8325327935, 13 clinicians

Imperial Health LLPGroup PAC ID 7719886779, 75 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Imperial Health, LLP

  • Family Medicine Physician
  • Lake Charles, LA
  • NPI 1053352401
  Medicare reassignment Care Compare group NPD
• Lake Charles Urgent Care

  • Urgent Care Clinic/Center
  • Lake Charles, LA
  • NPI 1306135892
  Medicare reassignment Care Compare group NPD
• Lcuc Family Physicians Urgent Care LLC

  • Urgent Care Clinic/Center
  • Sulphur, LA
  • NPI 1932655784
  Medicare reassignment Care Compare group NPD
• Calcasieu Cameron Emergency Physician Group LLC

  • Emergency Medicine Physician
  • Sulphur, LA
  • NPI 1699167478
  Medicare reassignment NPD
• Calcasieu Cameron Hospital Medicine Group LLC

  • Hospitalist Physician
  • Sulphur, LA
  • NPI 1659764967
  Medicare reassignment NPD
• Lake Charles Primary Care and Wellness

  • Family Medicine Physician
  • Lake Charles, LA
  • NPI 1083306815
  Medicare reassignment NPD
• Professional Emergency Medicine Management -- Lake Charles LLC

  • Emergency Medicine Physician
  • Lake Charles, LA
  • NPI 1023430766
  Medicare reassignment NPD
• Imperial Health LLP

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Lake Charles, LA
  • NPI 1740982115
  NPD
• Cardiovascular Specialists of Southwest Louisiana, LLC

  • Cardiovascular Disease Physician
  • Lake Charles, LA
  • NPI 1083711006
  NPD (past)
• Lake Charles Memorial Heart and Vascular Center

  dba Heart & Vascular Center

  • Cardiovascular Disease Physician
  • Lake Charles, LA
  • NPI 1407808405
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1992849244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 OAK RIDGE DR",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706659379",
            "telephone_number": "337-526-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CYPRESS ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635053",
            "telephone_number": "337-527-4270",
            "fax_number": "337-527-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARY",
        "first_name": "KENNETH",
        "middle_name": "LANE",
        "name_prefix": "Mr.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN094922-AP04928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Franks, PHD
• Freedom Pharmacy LLC
• Fresenius Medical Care Sulphur, LLC (Fresenius Kidney Care Calcasieu Parish Dialysis)
• Jason Brian Fuqua, M.D.
• Kelly Marie Fuqua, M.D.
• Stephanie Ann Gary
• Genoa Healthcare LLC
• Tiffany Kathleen Gibbs
• Juanita Tarver Gilbert, RPH
• Dori Gilder, FNP

• Family Nurse Practitioner in Sulphur, LA
• Providers in Sulphur, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.