Organization Active NPI

Primary Care & Wellness

  • Adult Health Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1255828398
Registry record updated Apr 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP09804 Issued in LA
Legal business name
PRIMARY CARE & WELLNESS
Practice address
9954 Lake Forest Blvd Ste 10
New Orleans, LA 70127-2647
Phone
(504) 241-0105
Fax
(504) 241-0106
NPI assigned
Apr 14, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2018

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

Authorized official

Name
Darlene Labostrie
Title
Manager
Phone
(404) 490-0304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X AP09804 LA Primary

Addresses

Primary practice location

9954 Lake Forest Blvd Ste 10
New Orleans, LA 70127-2647

Mailing address

PO Box 872713
New Orleans, LA 70187-2713
Phone (404) 490-0304

National Provider Directory

National Provider Directory

Locations

9954 Lake Forest Blvd
Ste 10
New Orleans, LA 70127
Phone (404) 490-0304

NPI Registry JSON

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

{
    "created_epoch": "1523664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523664000000",
    "number": "1255828398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 872713",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701872713",
            "telephone_number": "404-490-0304",
            "fax_number": "504-241-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9954 LAKE FOREST BLVD STE 10",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701272647",
            "telephone_number": "504-241-0105",
            "fax_number": "504-241-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-14",
        "last_updated": "2018-04-14",
        "status": "A",
        "authorized_official_last_name": "LABOSTRIE",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-490-0304"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP09804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2018; 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.