Individual provider Active NPI

Brittaney Wise-Wilridge, PHMNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1518837541
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
244440 Issued in LA
Practice address
751 Bayou Pines East Dr Ste P
Lake Charles, LA 70601-7196
Phone
(337) 513-4844
NPI assigned
Nov 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 244440 LA Primary

Addresses

Primary practice location

751 Bayou Pines East Dr Ste P
Lake Charles, LA 70601-7196

Mailing address

4768 Aubrey Ann Dr
Addis, LA 70710-2904
Phone (337) 513-4844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
244440LAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1762300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1518837541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4768 AUBREY ANN DR",
            "city": "ADDIS",
            "state": "LA",
            "postal_code": "707102904",
            "telephone_number": "337-513-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 BAYOU PINES EAST DR STE P",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017196",
            "telephone_number": "337-513-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE-WILRIDGE",
        "first_name": "BRITTANEY",
        "credential": "PHMNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-05",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "244440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.