Individual provider Active NPI

Nicole Lee Kerley-McGuire, M.D.

  • Pediatric Adolescent Medicine Physician
  • New Orleans, LA
National Provider Identifier
1124011879
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
024810 Issued in LA
Practice address
5730 Read Blvd
New Orleans, LA 70127-3106
Phone
(504) 246-5357
NPI assigned
Aug 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X 024810 LA Primary

Addresses

Primary practice location

5730 Read Blvd
New Orleans, LA 70127-3106

Mailing address

5730 Read Blvd
New Orleans, LA 70127-3106
Phone (504) 248-5357

Other identifiers 1

IdentifierTypeStateIssuer
1575917MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190621000505 LA Practitioner - Pediatric Medicine 7810221009 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
024810LAMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Teche Action Board Inc CurrentSince Apr 1, 2019 Accepting new patients
Teche Action Board, Inc. CurrentSince Apr 1, 2019 Accepting new patients
Teche Action Board Inc Current Accepting new patients
Marillac Community Health Centers Past Accepting new patients
Teche Action Board, Inc. Past Accepting new patients
Children'S International L.L.C. Pediatrics Past Accepting new patients
Teche Action Board, Inc. Past Accepting new patients
Marillac Community Health Centers Past Accepting new patients
Teche Action Board, Inc. Past Accepting new patients
Marillac Community Health Centers Past Accepting new patients
Marillac Community Health Centers Past Accepting new patients
Teche Action Board, Inc. Past Accepting new patients
Audubon Pediatrics, LLC Pediatrics Past Accepting new patients
Teche Action Board Inc Past Accepting new patients

Locations

18333 Highway 182
Rm 505
Baldwin, LA 70514
Phone (337) 924-9418

159 E 3rd St
Edgard, LA 70049
Phone (985) 497-8726

2555 Highway 18
Edgard, LA 70049
Phone (337) 828-2550

1115 Weber St
Ste B
Franklin, LA 70538

1115 Weber St
Franklin, LA 70538
Phone (337) 828-2550

827 N Pine St
Gramercy, LA 70052
Phone (225) 258-9490

189 Mozart Dr
Houma, LA 70363
Phone (985) 868-3700

1014 W Tunnel Blvd
Houma, LA 70360
Phone (985) 851-1717

5642 W Main St
Houma, LA 70360
Phone (985) 448-3737

393 Greenwood Dr
La Place, LA 70068
Phone (985) 359-6492

1124 7th St
Morgan City, LA 70380
Phone (985) 384-2371

3528 Highway 70 S
Pierre Part, LA 70339
Phone (985) 252-6211

1709 Ridgefield Rd
Thibodaux, LA 70301
Phone (985) 446-7341

22187 Highway 20
Vacherie, LA 70090
Phone (225) 258-4980

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1124011879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 READ BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701273106",
            "telephone_number": "504-248-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 READ BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701273106",
            "telephone_number": "504-246-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERLEY-MCGUIRE",
        "first_name": "NICOLE",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "LA",
            "license": "024810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1575917",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.