Kallie Holt, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP08746 Issued in LA

Practice address

200 W 5TH St
Deridder, LA 70634-4856

Phone

(337) 221-1417

Fax

(337) 221-1418

NPI assigned

Apr 8, 2016

Last updated

Jun 26, 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

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

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Louisiana Health Services IncGroup PAC ID 5799680245, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beauregard Memorial Hospital Hospital, Deridder, LA, CCN 190050

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kallie.holt@beauregard.medalliesdirect.net

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.

• West Louisiana Health Services Inc

  dba Beauregard Health System

  • Obstetrics & Gynecology Physician
  • Deridder, LA
  • NPI 1164985495
  Medicare reassignment Care Compare group NPD
• Calcasieu Urgent Care LLC

  dba Calcasieu Urgent Care

  • Urgent Care Clinic/Center
  • Lake Charles, LA
  • NPI 1467715490
  Medicare reassignment NPD
• Calcasieu Urgent Care, LLC

  • Rural Health Clinic/Center
  • Breaux Bridge, LA
  • NPI 1194482398
  NPD
• Hospital Service District No 2 of Parish of Beauregard State of la

  dba Beauregard Memorial Hospital

  • Rural Acute Care Hospital
  • Deridder, LA
  • NPI 1831193499
  NPD
• Beauregard Memorial Hospital Medical Staff Services

  • Multi-Specialty Clinic/Center
  • Deridder, LA
  • NPI 1801087184
  NPD (past)
• Imperial Health LLP

  • Family Medicine Physician
  • Lake Charles, LA
  • NPI 1326396375
  NPD (past)

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

• Hospital Service District No 2 of Parish of Beauregard State of la

  dba Beauregard Memorial Hospital

  • Rural Acute Care Hospital
  • Deridder, LA
  • NPI 1831193499
  Care Compare affiliation

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1477917193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 5TH ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344856",
            "telephone_number": "337-202-7850",
            "fax_number": "337-221-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 5TH ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344856",
            "telephone_number": "337-221-1417",
            "fax_number": "337-221-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "KALLIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-08",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casady James Hennigan, PT, DPT
• James Thomas Hennigan, Jr, RPH, PHARM D
• Henry S Carter, MD LLC
• Christine Hoffpauir, NP
• Kathern Sue Hollifield, R.P.T.
• Hospital Service District No 2 of Parish of Beauregard State of la (Beauregard Family Medicine Center)
• Hospital Service District No 2 of Parish of Beauregard State of la (Beauregard Women's Health Center)
• Hospital Service District No 2 of Parish of Beauregard State of la (Beauregard Internal Medicine Center)
• Hospital Service District No 2 of Parish of Beauregard State of la (Beauregard Memorial Hospital)
• Hospital Service District No 2 of Parish of Beauregard State of la (Beauregard Memorial Hospital)

• Family Nurse Practitioner in Deridder, LA
• Providers in Deridder, 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 Jun 26, 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.