Premier Health & Wellness Group, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP04341 Issued in LA

Legal business name

PREMIER HEALTH & WELLNESS GROUP, LLC

Practice address

17188 Airline Hwy Ste D
Prairieville, LA 70769-3443

Phone

(225) 673-4900

Fax

(225) 673-3338

NPI assigned

Nov 7, 2014

Last updated

Nov 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lannie B Pino, CFNP

Title

Owner/CFNP

Phone

(225) 673-4900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1013313774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17188 AIRLINE HWY STE D",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693443",
            "telephone_number": "225-673-4900",
            "fax_number": "225-673-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17188 AIRLINE HWY STE D",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693443",
            "telephone_number": "225-673-4900",
            "fax_number": "225-673-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH & WELLNESS GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "PINO",
        "authorized_official_first_name": "LANNIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/CFNP",
        "authorized_official_telephone_number": "225-673-4900",
        "authorized_official_credential": "CFNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1460508",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Prairieville, LA
• Providers in Prairieville, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.