Individual provider Active NPI

Kati Dooley Day, APRN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Deridder, LA
National Provider Identifier
1902482102
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
218815 Issued in LA
Practice address
501 S Pine St
Deridder, LA 70634-4939
Phone
(337) 463-9890
Fax
(337) 462-9521
NPI assigned
Mar 19, 2021
Last updated
Jun 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 218815 LA
Pediatric Nurse Practitioner 363LP0200X 218815 LA Primary

Addresses

Primary practice location

501 S Pine St
Deridder, LA 70634-4939

Mailing address

PO Box 730
Deridder, LA 70634-0730
Phone (337) 463-9890

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220224001349 LA Practitioner - Nurse Practitioner 3173917762 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Urgent Care, LLC Nurse Practitioner CurrentSince Feb 1, 2022 Accepting new patients
West Louisiana Health Services Inc CurrentSince Feb 19, 2024 Accepting new patients
Beauregard Medical and Surgical Center, LLC CurrentSince Feb 19, 2024 Accepting new patients
Beauregard Family Medical Center, LLC CurrentSince Feb 19, 2024 Accepting new patients
Hospital Service District No 2 of Parish of Beauregard State of la Current Accepting new patients
Hospital Service District No 2 of Parish of Beauregard State of la Past Accepting new patients
Red Stick Pediatrics PastSince Mar 1, 2021 Accepting new patients

Locations

500 Cahaba Park Cir
Ste 100
Birmingham, AL 35242
Phone (205) 848-2273

301 S Washington St
Deridder, LA 70634
Phone (337) 460-7688

501 S Pine St
Deridder, LA 70634
Phone (337) 462-3937

501 S Pine St
#C
Deridder, LA 70634
Phone (337) 463-9890

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

931 Verone Ter
Leesville, LA 71446
Phone (337) 238-3475

3663 Highway 190
Ste 10
Mandeville, LA 70471
Phone (985) 272-1396

3663 Highway 190
Ste 100
Mandeville, LA 70471
Phone (985) 272-1396

Interoperability endpoints

  • Direct secure messaging: kati.dooley@beauregard.medalliesdirect.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1616112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1902482102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706340730",
            "telephone_number": "337-463-9890",
            "fax_number": "337-462-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S PINE ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344939",
            "telephone_number": "337-463-9890",
            "fax_number": "337-462-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "KATI",
        "middle_name": "DOOLEY",
        "credential": "APRN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-19",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "218815",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "218815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deridder, LA

Sources for this page

Verify at the official NPI Registry.