Active NPI
Kellie Leday
- Prosthetic/Orthotic Supplier
- Beaumont, TX
National Provider Identifier
1972357796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- P8WUN1JA8R
- Practice address
- 3965 Phelan Blvd Ste 104
Beaumont, TX 77707-2253 - Phone
- (832) 693-2213
- NPI assigned
- Apr 17, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | P8WUN1JA8R | TX | |
| Prosthetic/Orthotic Supplier | 335E00000X | P8WUN1JA8R | TX | Primary |
Addresses
Primary practice location
3965 Phelan Blvd Ste 104
Beaumont, TX 77707-2253
Mailing address
5595 Bonnie Lee St
Beaumont, TX 77705-6006
Phone (832) 693-2213
Other practice location 1
5595 Bonnie Lee St
Beaumont, TX 77705-6006
Phone (832) 693-2213
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Kellie@accordingtokelz.com | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| P8WUN1JA8R | TX | MD | Prosthetic/Orthotic Supplier |
Interoperability endpoints
- kellie@accordingtokelz.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750291200000",
"number": "1972357796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5595 BONNIE LEE ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777056006",
"telephone_number": "832-693-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3965 PHELAN BLVD STE 104",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777072253",
"telephone_number": "832-693-2213"
}
],
"practiceLocations": [
{
"address_1": "5595 Bonnie Lee St",
"address_purpose": "LOCATION",
"city": "Beaumont",
"state": "TX",
"postal_code": "777056006",
"country_code": "US",
"telephone_number": "832-693-2213",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEDAY",
"first_name": "KELLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-17",
"last_updated": "2025-06-19",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "P8WUN1JA8R",
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "TX",
"license": "P8WUN1JA8R",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Kellie@accordingtokelz.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "3965 Phelan Blvd Ste 104",
"city": "Beaumont",
"state": "TX",
"country_code": "US",
"postal_code": "777072253",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.