Individual provider Active NPI

Brooke Leigh Kelley, MSN WHNP-BC IBCLC

  • Women's Health Nurse Practitioner
  • Port Arthur, TX
National Provider Identifier
1538658786
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP135798 Issued in TX
Practice address
3535 Gates Blvd Ste 116
Port Arthur, TX 77642-3810
Phone
(409) 989-5858
NPI assigned
May 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP135798 TX Primary

Addresses

Primary practice location

3535 Gates Blvd Ste 116
Port Arthur, TX 77642-3810

Mailing address

3535 Gates Blvd Ste 116
Port Arthur, TX 77642-3810
Phone (409) 989-5858

Other practice location 1

755 N 11th St Ste P4200
Beaumont, TX 77702-1521
Phone (409) 899-1499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20190129001582 TX Practitioner - Nurse Practitioner 7012254071 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Health Southeast Texas CurrentSince Jan 20, 2019 Accepting new patients
Christus Health Southeast Texas CurrentSince Jan 20, 2019 Accepting new patients
Christus Health Southeast Texas Current Accepting new patients
Chistus Health Past Accepting new patients

Locations

2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000

3535 Gates Blvd
Ste 116
Port Arthur, TX 77642
Phone (409) 989-5858

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1538658786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3535 GATES BLVD STE 116",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776423810",
            "telephone_number": "409-989-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 GATES BLVD STE 116",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776423810",
            "telephone_number": "409-989-5858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "755 N 11th St Ste P4200",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777021521",
            "country_code": "US",
            "telephone_number": "409-899-1499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLEY",
        "first_name": "BROOKE",
        "middle_name": "LEIGH",
        "credential": "MSN WHNP-BC IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-03",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "AP135798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

Verify at the official NPI Registry.