Just for Kids Wellness Clinic, LLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

JUST FOR KIDS WELLNESS CLINIC, LLC

Practice address

2910 Shed Rd Ste B
Bossier City, LA 71111-3154

Phone

(318) 747-0540

Fax

(318) 741-5700

NPI assigned

Aug 13, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Whitney Michelle Helms, APRN

Title

Co-Owner

Phone

(318) 564-3263

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1013264720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 SHED RD STE B",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113154",
            "telephone_number": "318-747-0540",
            "fax_number": "318-741-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 SHED RD STE B",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113154",
            "telephone_number": "318-747-0540",
            "fax_number": "318-741-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST FOR KIDS WELLNESS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "HELMS",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "318-564-3263",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyriel Jones
• Tiwana Jozette Thomas Jordan, LCSW
• Vergener Jordan
• Chandrakant M Joshi
• Jaylee Juneau, M.S., PLPC
• JW Counseling and Wellness LLC
• Kambri S Healthcare LLC
• Kambri S Healthcare LLC
• Annette Renee Kane, OTT
• Ahmad Marwan Kaskas

• All providers in Bossier City, LA
• Pediatric Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.