Annie Wise, NP

Primary specialty

Pediatric Clinical Nurse SpecialistTaxonomy code 364SP0200X

License

AP03922 Issued in LA

Practice address

1281 W Tunnel Blvd
Houma, LA 70360-2794

Phone

(985) 876-2321

Fax

(985) 917-0808

NPI assigned

May 14, 2008

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arunavathi T. Sangisetty, M.D., Apmc

  • Pediatrics Physician
  • Houma, LA
  • NPI 1205852746
  NPD (past)

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438646400000",
    "number": "1164699690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 W TUNNEL BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602794",
            "telephone_number": "985-876-2321",
            "fax_number": "985-917-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 W TUNNEL BLVD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703602794",
            "telephone_number": "985-876-2321",
            "fax_number": "985-917-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "ANNIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2015-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Pediatrics",
            "state": "LA",
            "license": "AP03922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154636",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antionette Marie Willis
• Kimberly April Willoughby
• Billie H Wilson, LPC LMFT
• Melanie J Wilson
• Annette Lebouef Windham, FNP-C
• Gayle Wolfe
• Kaliyah Michelle Wolfe
• Tiara Wolfe
• Women'S OB-GYN Health & Wellness Center, Apmc
• Howard Woo, MD

• Pediatric Clinical Nurse Specialist in Houma, LA
• Providers in Houma, LA by specialty
• Pediatric Clinical Nurse Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2015; 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.