Kelsey Diane Dearmon, CPNP-PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

227189 Issued in LA

Practice address

107 Contempo Ave Ste 2
West Monroe, LA 71291-5382

Phone

(318) 324-0111

Fax

(318) 324-9679

NPI assigned

Sep 20, 2022

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 names 1

• Miss Kelsey Diane Routh Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Cynthia P. Bimle, MD, Apmc

  • Pediatrics Physician
  • West Monroe, LA
  • NPI 1083156632
  NPD (past)

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1689397218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CONTEMPO AVE STE 2",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915382",
            "telephone_number": "318-324-0111",
            "fax_number": "318-324-9679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CONTEMPO AVE STE 2",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915382",
            "telephone_number": "318-324-0111",
            "fax_number": "318-324-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARMON",
        "first_name": "KELSEY",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "227189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "ROUTH",
            "middle_name": "DIANE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cresha Tanara-Tulani Davis, M.D.
• John William Davis, DC
• Kelli Davis
• Madison Davis
• Stephanie Davis, MSW, LCSW
• Donald Shane Debnam, FNP
• Mark S. Debord, LCSW
• Seth Randall Debruhl, PH.D.
• Teresa Anne Deese, APRN MSN BC
• Kristin Delancy, SLP

• Pediatric Nurse Practitioner in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Pediatric Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.