Organization Active NPI

Cypress Health and Wellness LLC

  • Primary Care Nurse Practitioner
  • Youngsville, LA
National Provider Identifier
1114681350
Registry record updated Oct 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
CYPRESS HEALTH AND WELLNESS LLC
Practice address
327 Iberia St Ste 3a
Youngsville, LA 70592-6370
Phone
(337) 230-4645
NPI assigned
Oct 25, 2021
Last updated
Oct 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2021

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

Authorized official

Name
Mrs. Jaimie Vincent Melancon, FNPNPI 1295191930
Title
Manager
Phone
(337) 230-4645

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NU Primary

Addresses

Primary practice location

327 Iberia St Ste 3a
Youngsville, LA 70592-6370

Mailing address

327 Iberia St Ste 3a
Youngsville, LA 70592-6370

Other identifiers 2

IdentifierTypeStateIssuer
2410849MedicaidLA
2422979MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL cypresshealthclinic.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220106000249 LA Part B Supplier - Clinic/Group Practice 6507257201 Receives reassigned benefits from 3 practitioners
Practice locations: Youngsville, LA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1114681350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 IBERIA ST STE 3A",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705926370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 IBERIA ST STE 3A",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705926370",
            "telephone_number": "337-230-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "MELANCON",
        "authorized_official_first_name": "JAIMIE",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "337-230-4645",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2410849",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2422979",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "cypresshealthclinic.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "327 Iberia St Ste 3A",
            "city": "Youngsville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705926370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Youngsville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; 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.

Verify at the official NPI Registry.