Active NPI
Wellness Poole LLC
- Family Medicine Physician
- Abbeville, LA
National Provider Identifier
1073364071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WELLNESS POOLE LLC
- Practice address
- 211 S Main St
Abbeville, LA 70510-5907 - Phone
- (337) 516-1770
- Fax
- (337) 516-1887
- NPI assigned
- Mar 28, 2024
- 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
- Kala Duhon
- Title
- Credentialing Manager
- Phone
- (337) 422-6746
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
211 S Main St
Abbeville, LA 70510-5907
Mailing address
211 S Main St
Abbeville, LA 70510-5907
Phone (337) 516-1770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Abbeville, LA
- NPI 1811435688
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746403200000",
"number": "1073364071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 S MAIN ST",
"city": "ABBEVILLE",
"state": "LA",
"postal_code": "705105907",
"telephone_number": "337-516-1770",
"fax_number": "337-516-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 S MAIN ST",
"city": "ABBEVILLE",
"state": "LA",
"postal_code": "705105907",
"telephone_number": "337-516-1770",
"fax_number": "337-516-1887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS POOLE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-28",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A",
"authorized_official_last_name": "DUHON",
"authorized_official_first_name": "KALA",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "337-422-6746"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Abbeville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.