Stephanie McCollister Kelleher, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

024325 Issued in LA

Practice address

888 Tara Blvd
Ste. E
Baton Rouge, LA 70806-7818

Phone

(225) 926-4400

Fax

(225) 926-4409

NPI assigned

Jul 5, 2006

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: skelleher15120@direct.casso.us.com

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.

• Baton Rouge Clinic, a Medical Corporation

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1871546911

  Pediatrics

  Medicare reassignment NPD
• Baton Rouge Clinic, a Medical Corporation

  • Ophthalmology Physician
  • Baton Rouge, LA
  • NPI 1528941655
  NPD

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609807197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 TARA BLVD",
            "address_2": "STE. E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067818",
            "telephone_number": "225-926-4400",
            "fax_number": "225-926-4409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 TARA BLVD",
            "address_2": "STE. E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067818",
            "telephone_number": "225-926-4400",
            "fax_number": "225-926-4409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLEHER",
        "first_name": "STEPHANIE",
        "middle_name": "MCCOLLISTER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "024325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1570214",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farima Keita
• Keith R. Kyler, D.D.S., L.L.C.
• Ashleigh Keith
• Genae Keitt
• Audrea Kellar Jackson
• Clarissa Clarice Keller
• Eva Grace Keller
• James Clayton Keller Jr., DDS
• Lakelyn Keller
• Tanaya Keller

• Pediatrics Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.