Paula S Licciardi, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN073519 Issued in LA

Practice address

410 W Judge Perez Dr
Chalmette, LA 70043-4906

Phone

(504) 249-5187

Fax

(504) 304-9951

NPI assigned

Sep 24, 2007

Last updated

Apr 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Health and Wellness of Chalmette, LLC

  dba Family Health and Wellness of Chalmette

  • Family Nurse Practitioner
  • Chalmette, LA
  • NPI 1639666332
  Authorized official Same address or phone

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524009600000",
    "number": "1033305925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W JUDGE PEREZ DR",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700434906",
            "telephone_number": "504-669-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W JUDGE PEREZ DR",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700434906",
            "telephone_number": "504-249-5187",
            "fax_number": "504-304-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICCIARDI",
        "first_name": "PAULA",
        "middle_name": "S",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-24",
        "last_updated": "2018-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN073519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA CERTIFICATE OF WAVIER",
            "identifier": "19D1083407",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Leonard
• Alyssa M Lepine, PHARMD
• Kevyn Lewis
• Larissa Geraldine Lewis
• Quian Jackson Lewis, LMSW
• Summer Lindzey, MSW
• Idrissa Karon Lipscomb
• Tereska M Littles, RSW
• LJF Holdings LLC (Shoemaker Chiropractic)
• Karen Grace Lo, DPM

• Family Nurse Practitioner in Chalmette, LA
• Providers in Chalmette, 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 Apr 18, 2018; 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.