Organization Active NPI

Louisiana Wellness Associates LLC

  • Family Medicine Physician
  • Eunice, LA
National Provider Identifier
1235478462
Registry record updated Feb 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LOUISIANA WELLNESS ASSOCIATES LLC
Practice address
151 Leon Ave
Eunice, LA 70535-3917
Phone
(337) 457-8166
NPI assigned
Feb 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2013

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

Authorized official

Name
Brian N Heinen Jr.
Title
Agent
Phone
(337) 457-8166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

151 Leon Ave
Eunice, LA 70535-3917

Mailing address

151 Leon Ave
Eunice, LA 70535-3917

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1235478462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 LEON AVE",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705353917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 LEON AVE",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705353917",
            "telephone_number": "337-457-8166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA WELLNESS ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "HEINEN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "337-457-8166",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eunice, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.