Brittany Elaine Kelly, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

303569 Issued in LA

Practice address

8731 Park Plaza Dr
Shreveport, LA 71105-5682

Phone

(318) 797-5848

Fax

(318) 797-5844

NPI assigned

Jul 27, 2016

Last updated

Oct 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brittany Elaine Hammond Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hulin Urgent Care Services LLCGroup PAC ID 6800051285, 135 clinicians

Coastal Urgent Care, LLCGroup PAC ID 8729138896, 50 clinicians

Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Arklatex Medical Consultants a Medical CorporationGroup PAC ID 5597001099, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations (25 of 28)

Interoperability endpoints

• Direct secure messaging: bkelly287592@christushealth.direct-ci.net
• FHIR API: https://fhir4.healow.com/fhir/r4/BCHDDD

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

• Hulin Urgent Care Services LLC

  dba SouthStar Urgent Care

  • Urgent Care Clinic/Center
  • New Iberia, LA
  • NPI 1699049262
  Medicare reassignment Care Compare group NPD
• Arklatex Medical Consultants a Medical Corporation

  dba Rapid Orthopaedic Care

  • Interventional Pain Medicine Physician
  • Shreveport, LA
  • NPI 1710466628
  Medicare reassignment Care Compare group
• Coastal Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Gonzales, LA
  • NPI 1568601425
  Medicare reassignment Care Compare group
• Christus Trinity Clinic Texas

  dba Christus Trinity Clinic

  • Family Medicine Physician
  • Tyler, TX
  • NPI 1285684225

  LA

  Medicare reassignment Care Compare group
• Arklatex Medical Consultants a Medical Corporation

  dba River Cities Interventional Pain Specialists

  • Durable Medical Equipment & Medical Supplies
  • Shreveport, LA
  • NPI 1225871700
  NPD
• Hulin Urgent Care Services LLC

  dba Southstar Urgent Care

  • Urgent Care Clinic/Center
  • Rayne, LA
  • NPI 1750055141
  NPD
• Family First Medicine, Apmc

  • Family Medicine Physician
  • Ruston, LA
  • NPI 1992868327
  NPD (past)
• Hulin Urgent Care Services, LLC

  dba SouthStar Urgent Care

  • Urgent Care Clinic/Center
  • Lafayette, LA
  • NPI 1346887098
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Christus Health Northern Louisiana

  dba Christus Shreveport-Bossier Health System

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1417950106
  Care Compare affiliation

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1164975959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8731 PARK PLAZA DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055682",
            "telephone_number": "318-797-5848",
            "fax_number": "318-797-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8731 PARK PLAZA DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711055682",
            "telephone_number": "318-797-5848",
            "fax_number": "318-797-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "BRITTANY",
        "middle_name": "ELAINE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "303569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13922838",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brittany.kelly@rcips.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "8731 Park Plaza Dr",
            "city": "Shreveport",
            "state": "LA",
            "country_code": "US",
            "postal_code": "711055682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "HAMMOND",
            "middle_name": "ELAINE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Nicole Kellogg, CRNA
• Marsha Kellum
• Kelly Braswell DDS LLC
• Kelly Eye Care, L.L.C.
• Kelly Optometry, a Professional Corporation
• Cameron Kelly, DO
• Carl A Kelly IV, O.D.
• Destiny D Kelly
• Tamara Yvette Kelly
• Zona C Kelly

• Physician Assistant in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.