Individual provider Active NPI

De'Lise Marie McKay, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kenner, LA
National Provider Identifier
1912517848
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
214538 Issued in LA
Practice address
2900 Indiana Ave
Kenner, LA 70065-4605
Phone
(504) 712-7800
NPI assigned
Aug 5, 2020
Last updated
Mar 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 214538 LA Primary

Addresses

Primary practice location

2900 Indiana Ave
Kenner, LA 70065-4605

Mailing address

2900 Indiana Ave
Kenner, LA 70065-4605
Phone (504) 712-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NJ, NY, MA, AZ, CA, FL, MS8 enrollments
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 8

Enrollment IDStateProvider typePAC IDDetails
I20201023000752 LA Practitioner - Nurse Practitioner 8123448560 Reassigns benefits to 3 organizations
I20210601001708 NJ Practitioner - Nurse Practitioner 8123448560
I20210602000969 NY Practitioner - Nurse Practitioner 8123448560 Reassigns benefits to 2 organizations
I20220815002098 MA Practitioner - Nurse Practitioner 8123448560
I20230512002280 AZ Practitioner - Nurse Practitioner 8123448560 Reassigns benefits to 2 organizations
I20230720004109 CA Practitioner - Nurse Practitioner 8123448560 Reassigns benefits to 1 organization
I20250702004520 FL Practitioner - Nurse Practitioner 8123448560 Reassigns benefits to 1 organization
I20260414002141 MS Practitioner - Nurse Practitioner 8123448560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Telecare Inc CurrentSince Jul 4, 2025 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jul 6, 2025 Accepting new patients
Upward Health of California, PC CurrentSince Jun 10, 2023 Accepting new patients
Upward Health of la Professional Medical Corporation CurrentSince Jun 23, 2025 Accepting new patients
Upward Health of Arizona LLC CurrentSince Apr 1, 2023 Accepting new patients
Psyched LLC Psychiatric/Mental Health CurrentSince May 1, 2024 Accepting new patients
Dennis Mihale MD of Ny PC CurrentSince May 1, 2021 Accepting new patients

Locations

2760 W Peoria Ave
Phoenix, AZ 85029
Phone (309) 229-0799

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

400 Concar Dr
San Mateo, CA 94402
Phone (650) 409-1407

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

115 N Calhoun St
Ste 4
Tallahassee, FL 32301
Phone (323) 776-3632

1 Galleria Blvd
Ste 1900
Metairie, LA 70001
Phone (504) 332-8698

6221 S Claiborne Ave
Ste 537
New Orleans, LA 70125
Phone (934) 758-4020

80 Arkay Dr
Ste 230
Hauppauge, NY 11788
Phone (631) 540-8225

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

188 Valley St
Ste 201
Providence, RI 02909
Phone (401) 648-6200

Interoperability endpoints

  • Direct secure messaging: de.lise.mckay.1@15578.direct.athenahealth.com

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": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1912517848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 INDIANA AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700654605",
            "telephone_number": "504-712-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 INDIANA AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700654605",
            "telephone_number": "504-712-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKAY",
        "first_name": "DE'LISE",
        "middle_name": "MARIE",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "214538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.