Kelly Busenlener, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

200158 Issued in LA

Practice address

18367 Perkins Rd E
Baton Rouge, LA 70810-3917

Phone

(225) 636-5437

Fax

(225) 636-5547

NPI assigned

Oct 24, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• The Pediatric Place, LLC

  • Pediatrics Physician
  • Baton Rouge, LA
  • NPI 1497009013
  NPD (past) Authorized official

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1720078611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18367 PERKINS RD E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708103917",
            "telephone_number": "225-636-5437",
            "fax_number": "225-636-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18367 PERKINS RD E",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708103917",
            "telephone_number": "225-636-5437",
            "fax_number": "225-636-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSENLENER",
        "first_name": "KELLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "LA",
            "license": "200158",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1647276",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Burton, RSW
• Taeyya Burton
• Tesia M Burton
• Valeria J Burton
• Busby Holdings LLC
• Lisa Leblanc Bush
• Myjha Kierra Jelahn Bush
• Business in Education Succeeding Together
• Alecia Butler
• Alfreda Butler

• 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 Mar 20, 2024; 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.