KRISTY R. KENNEDY MD, LLC (NPI# 1801142906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801142906 |
Entity Type | Organization |
Organization Name | KRISTY R. KENNEDY MD, LLC |
Practice Address |
1101 S College Rd Suite 202 Lafayette LA 70503-3038 |
Mailing Address |
119 Beverly Dr Lafayette LA 70503-3105 |
Practice Telephone | 3372356886 |
Enumeration Date | 2012-07-26 |
Last Update Date | 2012-07-26 |
Authorized Official Name | DR. KRISTY KENNEDY (OWNER) |
Authorized Official Telephone | 9016742525 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
MD.204714 | LA | Ambulatory Health Care Facilities |
Street Address |
1101 S COLLEGE RD SUITE 202 |
City | LAFAYETTE |
State | LA |
Zip Code | 70503-3038 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447249800 | Jatinder P Ahluwalia | Internal Medicine | 1101 S College Rd, Lafayette, LA 70503-3038 | 2005-10-18 |
1063896447 | Carla Ann Vidrine | Nurse Practitioner | 1101 S College Rd, Suite 206, Lafayette, LA 70503-3038 | 2015-07-15 |
1912326406 | Alison Trappey Penton Md, LLC | Dermatology | 1101 S College Rd, Lafayette, LA 70503-3038 | 2014-04-10 |
1962834408 | Scarlett Ordalie Hebert | Nurse Practitioner | 1101 S College Rd, Suite 400, Lafayette, LA 70503-3038 | 2013-08-07 |
1700182839 | Peak Medical Partners, LLC | Family Medicine | 1101 S College Rd, Suite 206, Lafayette, LA 70503-3038 | 2011-02-08 |
1922314608 | Ashley Ramsey | Physician Assistant | 1101 S College Rd, Suite 201, Lafayette, LA 70503-3038 | 2010-08-19 |
1902058563 | Acadiana Health Alliance, LLC. | Case Management | 1101 S College Rd, Suite 101, Lafayette, LA 70503-3038 | 2008-10-15 |
1124207204 | Diane Guidry Deblanc | Registered Nurse | 1101 S College Rd, Suite 400, Lafayette, LA 70503-3038 | 2007-10-25 |
1710184965 | The Bond Group, LLC | Family Medicine | 1101 S College Rd, Suite 201, Lafayette, LA 70503-3038 | 2007-06-29 |
1225247455 | Bradley Michael Blappert | Internal Medicine | 1101 S College Rd, Suite 206, Lafayette, LA 70503-3038 | 2007-05-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962024620 | The Carpenter Center for Palliative Medicine of Lafayette, LLC | General Acute Care Hospital | 923 West Pinhook Road, Lafayette, LA 70503 | 2020-05-15 |
1326679143 | Elisabeth Robertson | Speech-Language Pathologist | 227b Bendel Rd., Ste. C, Lafayette, LA 70503 | 2020-01-30 |
1497391973 | Solvet Services LLC | Durable Medical Equipment & Medical Supplies | 345 Doucet Rd., Suite 212, Lafayette, LA 70503 | 2019-11-20 |
1023654712 | Louisiana Cardiac Vascular and Pulmonary Rehab LLC | Registered Nurse | 2701 Johnston Street, Ste 100, Lafayette, LA 70503 | 2019-11-18 |
1972147346 | Ryan Christopher Winters | Counselor | 143 Ridgeway Dr., Lafayette, LA 70503 | 2019-10-29 |
1861046112 | Lafayette General Medical Center Inc | General Acute Care Hospital | 1213 Coolidge Street, Lafayette, LA 70503 | 2019-07-25 |
1770041295 | Karen R Rue | Registered Nurse | 1001 W. Pinhook Rd, Bldg #3, Ste. 212, Lafayette, La, LA 70503 | 2019-03-04 |
1235601766 | Frances Chauvin, Dds, LLC | Dentist | 229 Bendel Rd., Lafayette, LA 70503 | 2018-12-21 |
1710456116 | Affordable Caregivers, Inc. | In Home Supportive Care | 515 South College Rd., Suite 125, Lafeyette, LA 70503 | 2018-11-15 |
1366911778 | Taylor Callais-rusich | Counselor | 142 Ridgeway Dr., 201, Lafayette, LA 70503 | 2018-11-14 |
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Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
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1982141206 | Mei Lee Fleming Optometry | Clinic/Center | 3444 Mt Diablo Blvd, Lafayette, CA 94549-3912 | 2017-01-24 |
1508227604 | Acadiana Allergy, Asthma and Immunology Center, LLC | Clinic/Center | 300 Rue Beauregard Ste F, Lafayette, LA 70508 | 2016-03-16 |
1528331089 | Our Lady of Lourdes Regional | Clinic/Center | 227 Bendel Rd, Suite A, Lafayette, LA 70503-2922 | 2012-02-14 |
1215172523 | Colorado Back and Spine Center | Clinic/Center | 380 Empire Rd, Suite 101, Lafayette, CO 80026-2677 | 2008-12-16 |
1851581896 | Our Lady of Lourdes Regional Medical Center | Clinic/Center | 3220 Kaliste Saloom Rd, Lafayette, LA 70508-7422 | 2007-07-26 |
1548467640 | The Spine Worx LLC | Clinic/Center | 983 S Creasy Ln, Lafayette, IN 47905-4800 | 2007-07-02 |
1770681728 | Douglas L. Abadco, Md, Apmc | Clinic/Center | 4540 Ambassador Caffery Pkwy, Suite C-130, Lafayette, LA 70508-6928 | 2006-09-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.