Individual provider Active NPI

Marie Schultheis Wyatt, APRN

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • New Orleans, LA
National Provider Identifier
1104910066
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
RN099809-AP05092 Issued in LA
Practice address
3434 Canal St
New Orleans, LA 70119-6208
Phone
(504) 507-5744
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 099809 LA
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X RN099809-AP05092 LA Primary

Addresses

Primary practice location

3434 Canal St
New Orleans, LA 70119-6208

Mailing address

3434 Canal St
New Orleans, LA 70119-6208
Phone (504) 507-5744

Other names 1

  • Miss Marie Margaret Schultheis Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 405-456-7481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
099809LAMDAdult Psychiatric/Mental Health Registered Nurse
RN099809-AP05092LAMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617148800000",
    "number": "1104910066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196208",
            "telephone_number": "504-507-5744",
            "fax_number": "405-456-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 CANAL ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196208",
            "telephone_number": "504-507-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "MARIE",
        "middle_name": "SCHULTHEIS",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "LA",
            "license": "099809",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "LA",
            "license": "RN099809-AP05092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "405-456-7481",
            "affiliation": "N",
            "endpointDescription": "secure electronic fax",
            "address_1": "3434 Canal St",
            "city": "New Orleans",
            "state": "LA",
            "country_code": "US",
            "postal_code": "701196208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "SCHULTHEIS",
            "middle_name": "MARGARET",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.