Laken Desonier Kelly, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP08194 Issued in LA

Practice address

3649 S Beglis Pkwy
3645 S. Beglis Pkwy
Sulphur, LA 70665-8107

Phone

(337) 476-3149

NPI assigned

Mar 10, 2015

Last updated

Dec 1, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1033502497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 S BEGLIS PKWY",
            "address_2": "3645 S. BEGLIS PKWY",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706658107",
            "telephone_number": "337-476-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3649 S BEGLIS PKWY",
            "address_2": "3645 S. BEGLIS PKWY",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706658107",
            "telephone_number": "337-476-3149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "LAKEN",
        "middle_name": "DESONIER",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-10",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2384678",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Elaine Jones, M.D.
• Michael Craig Jones, M.D.
• Shanna Jones
• Journey Behavioral Health, LLC
• Carissa Nicole Keir, CPM
• Ken Thomas MD LLC
• Ann Elizabeth Kern, M.S.W.
• Kevin T. Schlamp, MD, LLC
• Garth Thesieger King, MD
• Jamie Averett Klumpp, APRN

• Family Nurse Practitioner in Sulphur, LA
• Providers in Sulphur, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.