Kelsey Quarls Egan, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

329371 Issued in LA

Practice address

15 Cardinal LN
Mandeville, LA 70471-6758

Phone

(985) 630-2722

NPI assigned

Mar 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kelsey Claire Quarls Former name

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.

• Fairway Pediatrics LLC

  • Pediatrics Physician
  • Covington, LA
  • NPI 1245275809
  NPD (past)

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1508325796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7020 HWY 190",
            "address_2": "STE. C",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-871-7337",
            "fax_number": "985-871-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CARDINAL LN",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716758",
            "telephone_number": "985-630-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGAN",
        "first_name": "KELSEY",
        "middle_name": "QUARLS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "329371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "QUARLS",
            "middle_name": "CLAIRE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Earles Hinson, LPC
• Anna M. Eastburn, RD, LDN
• Natasha Dyer Eberly, LCSW
• Edward P. Langlow MD Apmc
• Melissa S. Edwards, LCSW
• Khylee Egasti, BCBA, LBA
• Lindsey Ehricht, PLPC
• Elder Hearing Centers, Inc.
• David McMillan Elder
• Marie T. Elder, MCD, CCC-AUD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.