Individual provider Active NPI

Holly Guillaume Schiele, NP

  • Nurse Practitioner
  • Saint Amant, LA
National Provider Identifier
1225378649
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP07218 Issued in LA
Practice address
13489 Highway 431
Suite a
Saint Amant, LA 70774-3213
Phone
(225) 647-8511
Fax
(225) 644-5213
NPI assigned
Feb 21, 2013
Last updated
Apr 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP07218 LA Primary

Addresses

Primary practice location

13489 Highway 431
Suite a
Saint Amant, LA 70774-3213

Mailing address

13489 Highway 431
Suite a
Saint Amant, LA 70774-3213
Phone (225) 647-8511

Other identifiers 1

IdentifierTypeStateIssuer
2344323MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address hschiele14443@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131213000831 LA Practitioner - Nurse Practitioner 5294962460 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC Nurse Practitioner Current Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Mar 1, 2019 Accepting new patients
Our Lady of the Lake Physician Group, LLC CurrentSince Mar 1, 2019 Accepting new patients
Our Lady of the Lake Physician Group LLC Nurse Practitioner Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

1702 N Burnside Ave
#A
Gonzales, LA 70737
Phone (225) 647-8319

1710 N Airline Hwy
Gonzales, LA 70737
Phone (225) 644-6547

1937 S Burnside Ave
Gonzales, LA 70737
Phone (225) 647-1947

2647 S Saint Elizabeth Blvd
Ste 100
Gonzales, LA 70737
Phone (225) 743-2707

2647 S Saint Elizabeth Blvd
Ste 125
Gonzales, LA 70737
Phone (225) 647-9675

17609 Old Jefferson Hwy
Ste A
Prairieville, LA 70769

17609 Old Jefferson Hwy
Ste D
Prairieville, LA 70769
Phone (225) 677-9595

13489 Highway 431
#A
Saint Amant, LA 70774
Phone (225) 644-2288

Interoperability endpoints

  • Direct secure messaging: hschiele14443@direct.casso.us.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1225378649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13489 HIGHWAY 431",
            "address_2": "SUITE A",
            "city": "SAINT AMANT",
            "state": "LA",
            "postal_code": "707743213",
            "telephone_number": "225-647-8511",
            "fax_number": "225-644-5213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13489 HIGHWAY 431",
            "address_2": "SUITE A",
            "city": "SAINT AMANT",
            "state": "LA",
            "postal_code": "707743213",
            "telephone_number": "225-647-8511",
            "fax_number": "225-644-5213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIELE",
        "first_name": "HOLLY",
        "middle_name": "GUILLAUME",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-21",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP07218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2344323",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hschiele14443@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "hschiele14443@direct.casso.us.com",
            "address_1": "13489 Highway 431",
            "address_2": "Suite A",
            "city": "Saint Amant",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707743213",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "13489 Highway 431",
            "address_2": "Suite A",
            "city": "Saint Amant",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707743213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Amant, LA

Sources for this page

Verify at the official NPI Registry.