Stable Waters LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

STABLE WATERS LLC

Practice address

420 Albertson Pkwy
Broussard, LA 70518-4968

Phone

(504) 905-4359

NPI assigned

May 25, 2026

Organization subpart

No

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

Authorized official

Name

Kendra A Calais-Kelly, PMHNPNPI 1326788506

Title

Pmhnp, Sole Owner

Phone

(504) 905-4359

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kendra Calais-Kelly, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Broussard, LA
  • NPI 1326788506
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1779667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779667200000",
    "number": "1851222475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 BOZEMAN TRL",
            "city": "SCOTT",
            "state": "LA",
            "postal_code": "705834259",
            "telephone_number": "504-905-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 ALBERTSON PKWY",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705184968",
            "telephone_number": "504-905-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STABLE WATERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-25",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "status": "A",
        "authorized_official_last_name": "CALAIS-KELLY",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PMHNP, SOLE OWNER",
        "authorized_official_telephone_number": "504-905-4359",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Simon, M.S.,CCC-SLP
• Katie Lynn Simon, LCSW
• Bethany Simoneaux
• Kristin Alexi Smith
• Southside Pediatrics. a.P.M.C.
• Jason William Stanton, DC
• Erica Stephens, LCSW
• Simone Stevens, PHARMD.
• Swift and Care Transportation LLC
• Kaylin Thevis, PHARM.D

• Psychiatric/Mental Health Nurse Practitioner in Broussard, LA
• Providers in Broussard, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.