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

Individual provider Family Nurse Practitioner · NPI 1467113027

Kellie Mattingly Smith is a Nurse Practitioner in Marrero, Louisiana. Qualified in 2021, 5 years ago. Practices with Jeffcare, a 21-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
5
Licensed in
LA
In the registry since
2022
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Practice location Address checks out

5001 Westbank Expy Ste 100
Marrero, LA 70072-2954
Phone: (504) 349-8833
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3100 Williams Blvd, Kenner, LA 70065-4505 — (504) 443-1744

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 223687 (LA)

Record details

NPI number1467113027
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 5, 2022
Last updated in NPPESJuly 29, 2022
Certification dateJuly 29, 2022
Mailing address3212 Rue Marcelle St., Meraux, LA 70075

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Jeffcare — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Marrero