Kelly O Londeree, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

09969R Issued in LA

Practice address

4405 Highway 190 East Service Rd
Covington, LA 70433-4957

Phone

(985) 893-8505

Fax

(985) 893-0093

NPI assigned

Nov 30, 2006

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pontchartrain Pediatrics LLC

  • Pediatrics Physician
  • Covington, LA
  • NPI 1881727691
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1275601338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 HIGHWAY 190 EAST SERVICE RD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334957",
            "telephone_number": "985-893-8505",
            "fax_number": "985-893-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 HIGHWAY 190 EAST SERVICE RD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704334957",
            "telephone_number": "985-893-8505",
            "fax_number": "985-893-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDEREE",
        "first_name": "KELLY",
        "middle_name": "O",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "09969R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1990311",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• LMG,LLC
• Devon C. Lockfield, DPT
• Alyssa Lockhart, DDS
• Macy Loftis
• Antoinette Logarbo, MD
• Corey London Jr.
• Daniel Long
• Paige Long
• Longevity Health and Wellness
• Jeffrey H Loose, M.D.

• Pediatrics Physician in Covington, LA
• Providers in Covington, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.