Individual provider Active NPI

Latonya Woods, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1245974625
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
224680 Issued in LA
Practice address
401 Doctor Michael Debakey Dr Ste 301
Lake Charles, LA 70601-5864
Phone
(337) 478-9331
Fax
(337) 478-9828
NPI assigned
Apr 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 224680 LA Primary

Addresses

Primary practice location

401 Doctor Michael Debakey Dr Ste 301
Lake Charles, LA 70601-5864

Mailing address

401 Doctor Michael Debakey Dr Ste 301
Lake Charles, LA 70601-5864
Phone (337) 478-9331

Other practice location 1

333 Doctor Michael Debakey Dr Ste 220
Lake Charles, LA 70601-5888
Phone (337) 478-9331

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
I20230216000028 LA Practitioner - Nurse Practitioner 1759753999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lake Area Psychiatry LLCGroup PAC ID 7810938321, 13 clinicians

Practice addresses (Care Compare)

401 Dr Michael Debakey Dr
Suite 301
Lake Charles, LA 70601

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224680LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Area Psychiatry LLC Psychiatry CurrentSince Mar 1, 2023 Accepting new patients
Allyson Warshaw, LCSW LLC PastSince Jun 23, 2024 Accepting new patients
Acadiana Hope and Wellness Center, LLC Past Accepting new patients

Locations

333 Dr Michael Debakey Dr
Ste 220
Lake Charles, LA 70601
Phone (337) 478-9828

401 Dr Michael Debakey Dr
Ste 301
Lake Charles, LA 70601

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1245974625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 DOCTOR MICHAEL DEBAKEY DR STE 301",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015864",
            "telephone_number": "337-478-9331",
            "fax_number": "337-478-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 DOCTOR MICHAEL DEBAKEY DR STE 301",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015864",
            "telephone_number": "337-478-9331",
            "fax_number": "337-478-9828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Doctor Michael Debakey Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706015888",
            "country_code": "US",
            "telephone_number": "337-478-9331",
            "fax_number": "337-478-9828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODS",
        "first_name": "LATONYA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-22",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "224680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.