Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaylyn Ann Cooley

Individual provider Nurse Practitioner · NPI 1275268807

Kaylyn Ann Cooley is a Nurse Practitioner in Deridder, Louisiana. Qualified in 2022, 4 years ago. Practices with Beauregard Internal Medicine Center, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
4
Licensed in
LA
In the registry since
2022

Practice location Address checks out

495 W 8th St
Deridder, LA 70634-5507
Phone: (337) 462-2262
Fax: (337) 462-2295
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 266607 (LA)

Record details

NPI number1275268807
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 18, 2022
Last updated in NPPESAugust 14, 2024
Certification dateAugust 14, 2024
Mailing addressPo Box 730, Deridder, LA 70634-0730

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Beauregard Internal Medicine Center, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Deridder