Kellie Stouder Newman

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

228336 Issued in LA

Practice address

400 Poydras St Ste 1950
New Orleans, LA 70130-3341

Phone

(504) 322-3837

NPI assigned

Nov 22, 2022

Last updated

Nov 22, 2022By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Optum Behavioral Care of Virginia, Inc.

  • Counseling Psychologist
  • New Orleans, LA
  • NPI 1831962265
  Medicare reassignment NPD
• Optum Behavioral Care of Virginia, Inc.

  • Clinical Social Worker
  • New Orleans, LA
  • NPI 1053290973
  NPD

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1548979180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9028 MELROSE LN",
            "city": "RIVER RIDGE",
            "state": "LA",
            "postal_code": "701232918",
            "telephone_number": "504-319-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 POYDRAS ST STE 1950",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701303341",
            "telephone_number": "504-322-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "KELLIE",
        "middle_name": "STOUDER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "228336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA STATE BOARD OF NURSING",
            "identifier": "228336",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Vision Eyewear
• Kristine Wilson New, FNP-BC
• Celeste M. Newby, M.D.
• Shannon Newell
• Denise Laurel Newman, PH.D.
• Sandi Michele Newman, LAC AND LMSW
• Jade Newport
• Ventress Sean Newport, RPH
• Jeremiah Hunter Newsom, MD
• Deborsha Monique Newsome

• Psychiatric/Mental Health Nurse Practitioner in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.