Wellness Diabetes Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

WELLNESS DIABETES SUPPLY INC

Practice address

500 Vintage Dr
Suite a
Kenner, LA 70065

Phone

(504) 712-1414

Fax

(504) 712-1418

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Paul Kratzberg

Title

President

Phone

(504) 712-1414

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346282779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 VINTAGE DR",
            "address_2": "SUITE A",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "70065",
            "telephone_number": "504-712-1414",
            "fax_number": "504-712-1418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 VINTAGE DR",
            "address_2": "SUITE A",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "70065",
            "telephone_number": "504-712-1414",
            "fax_number": "504-712-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS DIABETES SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRATZBERG",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-712-1414",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1544167",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Burton Washington
• Tony Onslow Washington Jr.
• Adam Weinberg, M.D.
• Clay Welch, CRNA
• Wellistics Physical Therapy Center L3C
• Wellness Institute of Nephrology, LLC (Win)
• Louis Wells Jr.
• Shaniqua Wesley, LCSW
• Michelda West, FNP
• Mary White

• Durable Medical Equipment & Medical Supplies in Kenner, LA
• Providers in Kenner, LA by specialty
• Durable Medical Equipment & Medical Supplies in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.