Organization Active NPI

MG Wellness and Education, LLC

  • Family Nurse Practitioner
  • Prairieville, LA
National Provider Identifier
1326777384
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MG WELLNESS AND EDUCATION, LLC
Practice address
38494 Highway 42
Prairieville, LA 70769-4013
Phone
(225) 806-9750
NPI assigned
Jun 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Authorized official

Name
Michelle DonaldsonNPI 1720333966
Title
FNP-C
Phone
(225) 806-9750

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

38494 Highway 42
Prairieville, LA 70769-4013

Mailing address

17175 Fountainbleau Dr
Prairieville, LA 70769-5375

Other names 1

  • MG Wellness Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

38494 Highway 42
Prairieville, LA 70769
Phone (225) 806-9750

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1326777384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17175 FOUNTAINBLEAU DR",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707695375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38494 HIGHWAY 42",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694013",
            "telephone_number": "225-806-9750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG WELLNESS AND EDUCATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "FNP-C",
        "authorized_official_telephone_number": "225-806-9750"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MG Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prairieville, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.