Active NPI
Dakeitha Kelly
- Nurse's Aide
- Kenner, LA
National Provider Identifier
1891651485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 335834
- Practice address
- 3600 Williams Blvd Ste 8
Kenner, LA 70065-3462 - Phone
- (504) 401-4907
- NPI assigned
- Dec 29, 2025
- Last updated
- Dec 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 335834 | LA | Primary |
Addresses
Primary practice location
3600 Williams Blvd Ste 8
Kenner, LA 70065-3462
Mailing address
3600 Williams Blvd Ste 8
Kenner, LA 70065-3462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 335834 | LA | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766966400000",
"number": "1891651485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 WILLIAMS BLVD STE 8",
"city": "KENNER",
"state": "LA",
"postal_code": "700653462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 WILLIAMS BLVD STE 8",
"city": "KENNER",
"state": "LA",
"postal_code": "700653462",
"telephone_number": "504-401-4907"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELLY",
"first_name": "DAKEITHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-29",
"last_updated": "2025-12-29",
"certification_date": "2025-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "LA",
"license": "335834",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenner, LA
- Mario Kakazu, M.D.
- Sanjay Kamboj, M.D.
- Bhindhyaa Kaur, MD
- Christal Keller, PHARMD
- Kelly Optometry, a Professional Corporation
- Kenner Dental Associates, LLC (Louisiana Dental Center)
- Kenner Dental Company LLC
- Kenner Emergency Group LLC
- Kenner Outpatient Surgery Center
- Kenner Physician Associates, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.