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

Kellie Bourg Paddy, APRN

Individual provider Adult Health Nurse Practitioner · NPI 1154564169

Kellie Bourg Paddy, APRN is a Nurse Practitioner in Leesville, Louisiana. Qualified in 2008, 18 years ago. Practices with Physical Therapy Services of West Louisiana Inc, a 97-clinician group. Licensed in Louisiana.

Years since qualifying
18
Licensed in
LA
In the registry since
2009
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

931 Verone Ter
Leesville, LA 71446-4272
Phone: (337) 404-1708
Fax: (337) 404-1709
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence RN105307-AP05784 (LA)

Record details

NPI number1154564169
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedApril 7, 2009
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026
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 2008 (18 years in practice)
Group practice Physical Therapy Services Of West Louisiana Inc — 97 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare