Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kelly Eaton Boussert, M.D.

Interventional Pain Medicine Physician in Baton Rouge, LA · enumerated 2009 · practices at Orthopedic and Sports Medicine Services.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679717136

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Registry record

Entity type Individual (Type 1)

Name Kelly Eaton Boussert

Credential M.D.

Sex Female

Practice address 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA, 70810

Phone (225) 924-2424

Fax (225) 408-7980

Enumeration date Apr 28, 2009

Last updated in NPPES Jun 15, 2021

Taxonomy & licenses

207LP2900X Pain Medicine (Anesthesiology) Physician Allopathic & Osteopathic Physicians · License MD.207144 (LA) Secondary

208VP0014X Interventional Pain Medicine Physician Allopathic & Osteopathic Physicians · License MD.207144 (LA) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
1883450	Medicaid	LA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Kelly Boussert's NPI record?

Cross-check NPI 1679717136 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1679717136 active?

Yes, as of the latest NPPES snapshot, NPI 1679717136 is active (record last updated 2021-06-15).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-06-15.