NPIMap

Organization Active NPI

Slidell Family Medical and Wellness Care, LLC

  • Family Nurse Practitioner
  • Slidell, LA
National Provider Identifier
1629405477
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP05069 Issued in LA
Legal business name
SLIDELL FAMILY MEDICAL AND WELLNESS CARE, LLC
Practice address
1301 Brownswitch Rd
Suite C
Slidell, LA 70461-1695
Phone
(985) 326-8011
Fax
(985) 326-8015
NPI assigned
Oct 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Ms. Cheryl L Krewsky, APRN
Title
Sole Member
Phone
(985) 326-8011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP05069 LA Primary

Addresses

Primary practice location

1301 Brownswitch Rd
Suite C
Slidell, LA 70461-1695

Mailing address

1375 Corporate Square Dr
Slidell, LA 70458-3147
Phone (985) 326-8011

National Provider Directory

National Provider Directory

Locations

1301 Brownswitch Rd
Ste C
Slidell, LA 70461
Phone (985) 326-8011

NPI Registry JSON

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1629405477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 CORPORATE SQUARE DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704583147",
            "telephone_number": "985-326-8011",
            "fax_number": "985-326-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BROWNSWITCH RD",
            "address_2": "SUITE C",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704611695",
            "telephone_number": "985-326-8011",
            "fax_number": "985-326-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLIDELL FAMILY MEDICAL AND WELLNESS CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "KREWSKY",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "985-326-8011",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP05069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.