Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristina Bordeaux, PA

Individual provider Physician Assistant · NPI 1619695384

Kristina Bordeaux, PA is a Physician Assistant in Lafayette, Louisiana. Qualified in 2022, 4 years ago. Practices with Larry K. Broadwell, MD, a Medical Corporation, a 10-clinician group and accepts Medicare assignment.

Years since qualifying
4
In the registry since
2022
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1211 Coolidge Blvd # 303
Lafayette, LA 70503-2636
Phone: (337) 232-6697
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1619695384
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 18, 2022
Last updated in NPPESAugust 18, 2022
Certification dateAugust 18, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Larry K. Broadwell, M.D., A Medical Corporation — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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