NPIMap

Individual provider Active NPI

Wendy Anne Pratt, APRN - FNP

  • Family Nurse Practitioner
  • Covington, LA
National Provider Identifier
1225021207
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN094158 AP04160 Issued in LA
Practice address
1203 S Tyler St
Suite 200
Covington, LA 70433
Phone
(985) 892-9143
Fax
(985) 892-9656
NPI assigned
Aug 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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 RN094158 AP04160 LA Primary

Addresses

Primary practice location

1203 S Tyler St
Suite 200
Covington, LA 70433

Mailing address

1203 S Tyler St
Suite 200
Covington, LA 70433-2353
Phone (985) 892-9143

Other identifiers 2

IdentifierTypeStateIssuer
1464562MedicaidLA
352323ZADSOtherMEDICARE

Other names 1

  • Mrs. Wendy Pratt Granger Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101124000492 LA Practitioner - Nurse Practitioner 4587652730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1203 S Tyler St
200 Northlake Pulmonary Assoc at S
Covington, LA 70433-2353
Phone (985) 892-9143

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN094158 AP04160LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Tammany Parish Hospital Service District No 1 Current Accepting new patients
St Tammany Parish Hospital Service District No 1 CurrentSince Jan 1, 2020 Accepting new patients
St. Tammany Parish Hospital Service District No 1 CurrentSince Jan 1, 2020 Accepting new patients
E and G Enterprises Inc Past Accepting new patients
Global Medical Center, LLC Past Accepting new patients

Locations

1203 S Tyler St
Ste 200
Covington, LA 70433
Phone (985) 892-9143

606 W 11th Ave
#A
Covington, LA 70433
Phone (985) 892-3766

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 and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531180800000",
    "number": "1225021207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 S TYLER ST",
            "address_2": "SUITE 200",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332353",
            "telephone_number": "985-892-9143",
            "fax_number": "985-892-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 S TYLER ST",
            "address_2": "SUITE 200",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "70433",
            "telephone_number": "985-892-9143",
            "fax_number": "985-892-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "WENDY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "APRN - FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2018-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN094158 AP04160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1464562",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "352323ZADS",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "GRANGER",
            "middle_name": "PRATT",
            "prefix": "MRS.",
            "credential": "APRN - FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.