KELLI SPILLERS BOVARD CPNP NPI 1316989650

NPI Information

  • NPI: 1316989650
  • Provider Name: KELLI SPILLERS BOVARD, CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8415 GOODWOOD BLVD
    SUITE 104
    BATON ROUGE, LA
    ZIP 70806
  • Phone: (225) 925-9797

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NPI Details

Kelli Spillers Bovard, CPNP is a pediatrics nurse practitioner in Baton Rouge, LA. Kelli Spillers Bovard, CPNP NPI is 1316989650. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8415 GOODWOOD BLVD
SUITE 104
BATON ROUGE, LA
ZIP 70806-851
Phone: (225) 925-9797
Fax: (225) 925-9787

The NPI 1316989650 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 1/20/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0200XNurse PractitionerPediatricsRN103455 AP04901LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11527467MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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