Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Kellie Leday

Specialist β€’ Beaumont, TX

Active NPI 1972357796 Individual Practitioner Female Practitioner
Practice location in NPPES

3965 Phelan Blvd Ste 104
Beaumont, TX 777072253

Call 8326932213 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3965 Phelan Blvd Ste 104

Beaumont, TX 777072253

Telephone 8326932213
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Beaumont, TX. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Beaumont and Texas

18 active clinicians are listed under Specialist with a practice address in Beaumont, TX (1,729 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Beaumont

0% of these 18 clinicians have the CMS telehealth indicator.

38.9% of these 18 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-19
Prosthetic/Orthotic Supplier Primary Specialty

NUCC Taxonomy Code: 335E00000X

License # reported to NPPES TX P8WUN1JA8R

An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Specialist

NUCC Taxonomy Code: 174400000X

License # reported to NPPES TX P8WUN1JA8R

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Secondary Practice Locations

5595 Bonnie Lee St

Beaumont, TX 777056006

Phone: 8326932213

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location June 19, 2025

Registered at 3965 PHELAN BLVD STE 104, BEAUMONT, TX 777072253 (Tel: 8326932213)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2025

Specialist (license number reported to NPPES: TX P8WUN1JA8R)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2024

Prosthetic/Orthotic Supplier (license number reported to NPPES: TX P8WUN1JA8R)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2024

Specialist (license number reported to NPPES: TX P8WUN1JA8R)

βœ…
NPI Profile Active April 17, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 17, 2024

Registered at 5595 BONNIE LEE ST, BEAUMONT, TX 777056006 (Tel: 4094343448)

πŸ“
Business Mailing Address (Initial Record) April 17, 2024

Registered at 5595 BONNIE LEE ST, BEAUMONT, TX 777056006 (Tel: 4094343448)

πŸ‘€
Provider Name / Credentials (Initial Record) April 17, 2024

Recorded as KELLIE LEDAY

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2024

Prosthetic/Orthotic Supplier

🟒
Initial NPI Registration & Enumeration April 17, 2024

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1972357796
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2024
Last Update: June 19, 2025
Sole Proprietor: Yes

Other Specialists in Beaumont

All Specialists in Beaumont

Mailing Address

5595 Bonnie Lee St

Beaumont, TX 777056006

Phone: 8326932213

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.