Individual provider Active NPI

Katelyn A Dupre, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • New Roads, LA
National Provider Identifier
1609558055
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
231772 Issued in LA
Practice address
230 Roberts Dr Ste H
New Roads, LA 70760-2661
Phone
(225) 618-5959
NPI assigned
Aug 4, 2023
Last updated
May 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 231772 LA Primary

Addresses

Primary practice location

230 Roberts Dr Ste H
New Roads, LA 70760-2661

Mailing address

5594 Woodview LN
Jarreau, LA 70749
Phone (225) 354-9207

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230906002802 LA Practitioner - Nurse Practitioner 0840654042 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

230 Roberts Dr
New Roads, LA 70760-2661
Phone (225) 618-7800

6450 La Hwy 1
Batchelor, LA 70715-3212
Phone (225) 492-3775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
231772LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innis Community Health Center, Inc CurrentSince Apr 24, 2024 Accepting new patients
Innis Community Health Center, Inc Current Accepting new patients
CLHG-Ville Platte LLC CurrentSince Oct 1, 2023 Accepting new patients
Innis Community Health Center, Inc CurrentSince Apr 24, 2024 Accepting new patients

Locations

6450 LA Highway 1
Batchelor, LA 70715
Phone (225) 618-5015

8387 Newfield Dr
Livonia, LA 70755
Phone (225) 412-0202

230 Roberts Dr
Ste H
New Roads, LA 70760
Phone (225) 618-7800

536 Veterans Blvd
Washington, LA 70589
Phone (337) 628-5014

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1691107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1609558055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5594 WOODVIEW LN",
            "city": "JARREAU",
            "state": "LA",
            "postal_code": "70749",
            "telephone_number": "225-354-9207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 ROBERTS DR STE H",
            "city": "NEW ROADS",
            "state": "LA",
            "postal_code": "707602661",
            "telephone_number": "225-618-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPRE",
        "first_name": "KATELYN",
        "middle_name": "A",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-04",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "231772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Roads, LA

Sources for this page

Verify at the official NPI Registry.