Active NPI
Exceptional Wellness Medical Services, LLC
- Family Nurse Practitioner
- Lake Charles, LA
National Provider Identifier
1013872035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- EXCEPTIONAL WELLNESS MEDICAL SERVICES, LLC
- Practice address
- 4920 Lake St
Lake Charles, LA 70605-6514 - Phone
- (337) 414-4877
- Fax
- (337) 469-2009
- NPI assigned
- Dec 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Spring N Lane, FNP-C
- Title
- Manager
- Phone
- (337) 414-4877
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
4920 Lake St
Lake Charles, LA 70605-6514
Mailing address
4920 Lake St
Lake Charles, LA 70605-6514
Phone (337) 414-4877
National Provider Directory
National Provider DirectoryLocations
4920 Lake St
Lake Charles, LA 70605
Phone (337) 310-7378
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Lake Charles, LA
- NPI 1396477451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1766361600000",
"number": "1013872035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4920 LAKE ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706056514",
"telephone_number": "337-414-4877",
"fax_number": "337-469-2009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4920 LAKE ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706056514",
"telephone_number": "337-414-4877",
"fax_number": "337-469-2009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXCEPTIONAL WELLNESS MEDICAL SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-22",
"last_updated": "2025-12-22",
"certification_date": "2025-12-22",
"status": "A",
"authorized_official_last_name": "LANE",
"authorized_official_first_name": "SPRING",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "337-414-4877",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
- Evergreen Presbyterian Ministries, Inc.
- Every Voice Matters LLC
- Grant Jonathan Ewing
- Exceptional Healthcare Staffing, LLC
- Exceptional Med-Help, LLC
- Executive Medical Clinic of Lake Charles
- Extraordinary Health Inc.
- Extraordinary Healthcare, LLC
- Eye Clinic a Professional Medical Corp.
- Eyemart Express LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.