MRS. KELLIE ROY BERTRAND CFNP
NPI 1225014665
Nurse Practitioner - Family in Simmesport, LA

Active since December 19, 2005
118 JJJ LN, SIMMESPORT, LA 71369(318) 941-5286(318) 941-5284 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Kellie Roy Bertrand Cfnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KELLIE ROY BERTRAND CFNP (NPI 1225014665) is an individual family provider in Simmesport, Louisiana, licensed in Louisiana (RN096429 AP04315) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1225014665
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KELLIE ROY BERTRANDCredential: CFNP
Location Address118 JJJ LNSimmesport, LA 71369-2180
Mailing Address8415 Goodwood Blvd, Suite 105Baton Rouge, LA 70806-7851 · (225) 765-5727 · Fax (225) 765-5728
Fax(318) 941-5284
Sole ProprietorYes
Enumeration DateDecember 19, 2005
Last NPPES UpdateMay 1, 2013
NPI 1225014665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in LA · RN096429 AP04315
118 JJJ LN, Simmesport, LA 71369

Other Names 1

Former Name (1)Kellie Chantelle Roy

Other Identifiers 3

Medicare PIN4C960LA
Medicaid1174882LA
Medicare UPINQ07481LA

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rural Health)
118 JJJ LN
SIMMESPORT, LA 71369
Clinic/Center (Rural Health)
118 JJJ LN
SIMMESPORT, LA 71369

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Bertrand's NPI number?

The NPI number for Kellie Bertrand is 1225014665. It was assigned to this individual provider in the NPPES registry on December 19, 2005. The provider is also known as Kellie Chantelle Roy.

Where is Kellie Bertrand located?

Kellie Bertrand practices at 118 Jjj Ln, Simmesport, LA 71369. The listed phone number is (318) 941-5286.

What is Kellie Bertrand's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kellie Bertrand was last updated on May 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.