Active NPI
Charla Wurster Knapp, NP
- Family Nurse Practitioner
- Natchez, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 785451
- Practice address
- 315 John R Junkin Dr
Natchez, MS 39120-3823 - Phone
- (601) 445-1715
- Fax
- (601) 445-6720
- NPI assigned
- Jan 13, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 785451 | MS | Primary |
Addresses
Primary practice location
315 John R Junkin Dr
Natchez, MS 39120-3823
Mailing address
PO Box 321359
Flowood, MS 39232-1359
Phone (601) 936-1395
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01926528 | Medicaid | MS | |
| 1882372 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 785451 | MS | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hulin Urgent Care Services LLC | Current | Accepting new patients | |
| Tillman Medical Group PA | Current | Accepting new patients | |
| St. Francis Urgent Care LLC | Current | Accepting new patients | |
| Hulin Urgent Care Services LLC | Current | Accepting new patients | |
| Total Urgent Care and Occupational Medicine | Current | Accepting new patients |
Locations
10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352
314 Highway 3162
Cut Off, LA 70345
Phone (985) 632-1820
2020 Tower Dr
Ste 100
Monroe, LA 71201
Phone (318) 966-6220
140 Rowland Rd
Monroe, LA 71203
1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166
107 Front St
Vidalia, LA 71373
Phone (318) 336-2216
3424 Cypress St
West Monroe, LA 71291
Phone (318) 450-4626
Interoperability endpoints
- charla.knapp.1@23369.direct.athenahealth.com
Organizations & group practices 5
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.
-
dba SouthStar Urgent Care
- Urgent Care Clinic/Center
- New Iberia, LA
- NPI 1699049262
-
- Urgent Care Clinic/Center
- Monroe, LA
- NPI 1194104513
-
- Specialist
- Vidalia, LA
- NPI 1043260615
-
- Urgent Care Clinic/Center
- Cut Off, LA
- NPI 1760871602
-
dba Southstar Urgent Care
- Urgent Care Clinic/Center
- Rayne, LA
- NPI 1750055141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614816000000",
"number": "1083851026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 321359",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392321359",
"telephone_number": "601-936-1395",
"fax_number": "601-933-6596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 JOHN R JUNKIN DR",
"city": "NATCHEZ",
"state": "MS",
"postal_code": "391203823",
"telephone_number": "601-445-1715",
"fax_number": "601-445-6720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNAPP",
"first_name": "CHARLA",
"middle_name": "WURSTER",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-13",
"last_updated": "2021-03-04",
"certification_date": "2021-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "785451",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01926528",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1882372",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Natchez, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.