Provider Demographics
NPI:1376764902
Name:ESCHETE, KAYA (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:KAYA
Middle Name:
Last Name:ESCHETE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 66
Mailing Address - Street 2:
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70631-0066
Mailing Address - Country:US
Mailing Address - Phone:985-872-0423
Mailing Address - Fax:985-872-6600
Practice Address - Street 1:505 DUNN STREET
Practice Address - Street 2:
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360
Practice Address - Country:US
Practice Address - Phone:985-872-0423
Practice Address - Fax:985-872-6600
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP03095363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA4H377Medicare ID - Type Unspecified
LAQ39466Medicare UPIN