MRS. KELLIE ROY BERTRAND (NPI# 1225014665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225014665 |
| Entity Type | Individual |
| Full Name | MRS. KELLIE ROY BERTRAND |
| Other Name | KELLIE CHANTELLE ROY |
| Credential | CFNP |
| Practice Address |
118 Jjj Ln Simmesport LA 71369-2180 |
| Mailing Address |
8415 Goodwood Blvd Suite 105 Baton Rouge LA 70806-7851 |
| Practice Telephone | 3189415286 |
| Practice Fax Number | 3189415284 |
| Mailing Telephone | 2257655727 |
| Mailing Fax Number | 2257655728 |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2013-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN096429 AP04315 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1174882 | 05 |
| Street Address |
118 JJJ LN |
| City | SIMMESPORT |
| State | LA |
| Zip Code | 71369-2180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336301282 | Kd Health & Wellness Center LLC | Clinic/Center | 118 Jjj Ln, Simmesport, LA 71369-2180 | 2008-07-01 |
| 1770789760 | Kd Health & Wellness Center LLC | Clinic/Center | 118 Jjj Ln, Simmesport, LA 71369-2180 | 2007-06-26 |
| 1699827600 | Celeste Tolar Mcknight | Nurse Practitioner | 118 Jjj Ln, Simmesport, LA 71369-2180 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639366685 | Louisiana Health Care Practitioners, LLC | Clinic/Center | 417 North Martin Luther King Drive, Simmesport, LA 71369 | 2007-10-03 |
| 1427278241 | Newell E. Gauthier Jr. Md | Clinic/Center | 417 North Mlk Drive, Simmesport, LA 71369 | 2007-04-26 |
| 1851496129 | United Therapists of Louisiana L.l.c | Physical Medicine & Rehabilitation | 344 Mission Drive, Simmesport, LA 71369 | 2006-09-13 |
| 1790798601 | John Herman Mitchell Jr. | Dentist | 352 Mission Drive, Simmesport, LA 71369 | 2006-08-14 |
| 1740494632 | Raymond Maurice Njalle | Physical Therapist | 344 Mission Drive, Simmesport, LA 71369 | 2007-05-09 |
| 1568409977 | Bayou Chateau Nursing Center, Inc | Skilled Nursing Facility | 16232 Highway 1, Simmesport, LA 71369-2156 | 2006-06-02 |
| 1205902939 | Peace Management Inc | Durable Medical Equipment & Medical Supplies | 16237 Highway 1, Simmesport, LA 71369-2157 | 2006-11-27 |
| 1356959183 | Peace Management Inc | Pharmacy | 16237 Highway 1, Simmesport, LA 71369-2157 | 2020-07-17 |
| 1255491783 | Peace Managment Inc. | Pharmacy | 16237 Highway 1, Simmesport, LA 71369-2157 | 2006-12-12 |
| 1275587016 | Joseph Todd Plauche | Pharmacist | 116 Jjj Ln, Simmesport, LA 71369-2180 | 2006-05-19 |
| Find all providers in zip 71369 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548809528 | Krista Johnson | Nurse Practitioner | 417 N Martin Luther King Dr, Simmesport, LA 71369-2181 | 2019-12-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972347 | Alicia Mitchell | Nurse Practitioner | 1504 Sunset Dr, Monroe, LA 71202-3612 | 2020-11-08 |
| 1902407190 | Amy Schulin Long | Nurse Practitioner | 2800 Veterans Memorial Blvd Ste 102, Metairie, LA 70002-6172 | 2020-11-04 |
| 1053911339 | Walter Matheny II | Nurse Practitioner | 216 W Union Street Ste A Minden, Minden, LA 71055 | 2020-10-27 |
| 1568061950 | Kecia Clark | Nurse Practitioner | 3009 Englewood Dr, Jennings, LA 70546-3266 | 2020-10-19 |
| 1225636012 | Jennifer Castro Ledet | Nurse Practitioner | 689 English Oak Dr, Madisonville, LA 70447-3179 | 2020-10-14 |
| 1730786377 | Catherine Newman | Nurse Practitioner | 27124 La-42, Springfield, LA 70462 | 2020-10-07 |
| 1447857636 | Ashley Norsworthy | Nurse Practitioner | 2600 Tower Dr Ste 216, Monroe, LA 71201-5783 | 2020-10-01 |
| 1629684923 | On -demand Healthcare of Louisiana LLC | Nurse Practitioner | 12109 Hampton Village Ave, Baton Rouge, LA 70818-5741 | 2020-09-22 |
| 1528674280 | Acadiana Wound & Ostomy On Wheels | Nurse Practitioner | 218 Division Street, Krotz Springs, LA 70750 | 2020-09-18 |
| 1841806775 | Shelia M Reliford | Nurse Practitioner | 3928 Balcom St, Shreveport, LA 71109-5004 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
| City | SIMMESPORT |
| Zip Code | 71369 |
Please comment or provide details below to improve the information on MRS. KELLIE ROY BERTRAND.
| 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.