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

Mr. Khaled S Qaisieh, FNP

Individual provider Family Nurse Practitioner · NPI 1750842100

Mr. Khaled S Qaisieh, FNP is a Nurse Practitioner in Broussard, Louisiana. Qualified in 2018, 8 years ago. Practices with University Hospital and Clinics, Inc, a 81-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Louisiana.

Years since qualifying
8
Licensed in
LA
In the registry since
2019
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1012 Petroleum Pkwy
Broussard, LA 70518-8020
Phone: (337) 465-4600
Fax: (337) 465-4604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 204205 (LA)

Record details

NPI number1750842100
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 28, 2019
Last updated in NPPESMarch 28, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice University Hospital And Clinics, Inc. — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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