Katrina Patchus Kellum, D.N.P., APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP08917 Issued in LA

Practice address

4740 S I 10 Service Rd W
Metairie, LA 70001-1234

Phone

(504) 883-3703

Fax

(504) 883-3704

NPI assigned

Jul 19, 2016

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

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": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478908800000",
    "number": "1194178723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 S I 10 SERVICE RD W",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011234",
            "telephone_number": "504-883-3703",
            "fax_number": "504-883-3704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 S I 10 SERVICE RD W",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011234",
            "telephone_number": "504-883-3703",
            "fax_number": "504-883-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLUM",
        "first_name": "KATRINA",
        "middle_name": "PATCHUS",
        "name_prefix": "Dr.",
        "credential": "D.N.P., APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Remi E Keller
• Samantha Eshleman Keller
• Sharnika S Keller
• Glenn Patrick Kelley, M.D.
• Yari Kelley, PLPC
• Jasmine Jaquel Kellup
• Kelly Optometry, a Professional Corporation
• Kelly Spears, Inc.
• Tremelia Dionne Kelly-Sennett, APRN, AGACNP-BC
• Aminah Aini-Alem Kelly, RBT

• Family Nurse Practitioner in Metairie, LA
• Providers in Metairie, 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 Nov 12, 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.