Individual provider Active NPI

Charla Wurster Knapp, NP

  • Family Nurse Practitioner
  • Natchez, MS
National Provider Identifier
1083851026
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
785451 Issued in MS
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

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01926528MedicaidMS
1882372MedicaidLA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090818000459 LA Practitioner - Nurse Practitioner 4082768551 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
785451MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hulin Urgent Care Services LLC CurrentSince Oct 2, 2019 Accepting new patients
Tillman Medical Group PA CurrentSince Feb 20, 2018 Accepting new patients
St. Francis Urgent Care LLC CurrentSince May 17, 2023 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Oct 2, 2019 Accepting new patients
Total Urgent Care and Occupational Medicine CurrentSince Oct 11, 2024 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.