Kelly Mott Whitehead, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

207292 Issued in LA

Practice address

1322 Elton Rd Ste F
Jennings, LA 70546-4100

Phone

(337) 824-8868

Fax

(337) 824-8829

NPI assigned

Aug 11, 2019

Last updated

Jul 17, 2023By 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

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ochsner American Legion Hospital, LLCGroup PAC ID 4688051717, 32 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jeff Davis MD Homecare Home health agency, Jennings, LA, CCN 197039
• Ochsner American Legion Hospital Hospital, Jennings, LA, CCN 190053
• Acadia General Hospital Hospital, Crowley, LA, CCN 190044

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwhitehead1657098@direct.ochsner.org

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.

• Ochsner American Legion Hospital LLC

  dba Ochsner American Legion Hospital

  • Multi-Specialty Clinic/Center
  • Jennings, LA
  • NPI 1811630981
  Medicare reassignment Care Compare group NPD
• Ochsner American Legion Hospital LLC

  dba Ochsner Health Center - Jennings

  • Rural Health Clinic/Center
  • Jennings, LA
  • NPI 1538800503
  NPD
• Ochsner American Legion Hospital LLC

  dba Ochsner Health Center - Welsh

  • Internal Medicine Physician
  • Welsh, LA
  • NPI 1538819628
  NPD
• Jennings American Legion Hospital, Inc.

  • Surgery Physician
  • Jennings, LA
  • NPI 1801147434
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Acadia General Hospital, Inc.

  dba Acadia General Hospital

  • General Acute Care Hospital
  • Crowley, LA
  • NPI 1669882940
  Care Compare affiliation
• LHCG Lxxviii, LLC

  dba Jeff Davis MD Homecare

  • Home Health Agency
  • Jennings, LA
  • NPI 1588112239
  Care Compare affiliation
• Ochsner American Legion Hospital LLC

  dba Ochsner American Legion Hospital

  • General Acute Care Hospital
  • Jennings, LA
  • NPI 1184373268
  Care Compare affiliation

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

{
    "created_epoch": "1565481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1801442405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 ELTON RD STE F",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464100",
            "telephone_number": "337-824-8868",
            "fax_number": "337-824-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 ELTON RD STE F",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464100",
            "telephone_number": "337-824-8868",
            "fax_number": "337-824-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "KELLY",
        "middle_name": "MOTT",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-11",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "207292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claude Kimball Watkins
• Brandi Lynn Welch, PHARMD
• Wellness Clinic Psychiatry, LLC
• West Behavioral, LLC
• Lindy West, BCBA
• Sarah K. Whitehead, P.T,
• Why Breathe Easy, Inc
• Brian Cranford Wilder, M.D.
• Shane Taylor Wilkinson, D.C.
• William Dean Fontenot Inc.

• Family Nurse Practitioner in Jennings, LA
• Providers in Jennings, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.