Chantelle Laura Corrent Johnson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP06147 Issued in LA

Practice address

77695 Wagley Rd
Maringouin, LA 70757-3028

Phone

(225) 625-2313

Fax

(225) 625-2424

NPI assigned

Nov 18, 2010

Last updated

Apr 4, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Chantelle Laura Corrent Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301875200000",
    "number": "1144522558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77695 WAGLEY RD",
            "city": "MARINGOUIN",
            "state": "LA",
            "postal_code": "707573028",
            "telephone_number": "225-625-2313",
            "fax_number": "225-625-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77695 WAGLEY RD",
            "city": "MARINGOUIN",
            "state": "LA",
            "postal_code": "707573028",
            "telephone_number": "225-625-2313",
            "fax_number": "225-625-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRENT JOHNSON",
        "first_name": "CHANTELLE",
        "middle_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-18",
        "last_updated": "2011-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANTELLE",
            "last_name": "CORRENT",
            "middle_name": "LAURA",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Charlotte Marie Goudeau, LM, CPM
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• Michelle D James

• Family Nurse Practitioner in Maringouin, LA
• Providers in Maringouin, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.