Organization Active NPI

Gno Health & Wellness Center

  • Family Medicine Physician
  • New Orleans, LA
National Provider Identifier
1629650585
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GNO HEALTH & WELLNESS CENTER
Practice address
1615 Poydras St Ste 900
New Orleans, LA 70112-1282
Phone
(504) 648-6767
Fax
(504) 399-5663
NPI assigned
Apr 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Authorized official

Name
Aniece Nicole SmithNPI 1104342682
Title
Owner
Phone
(504) 266-5479

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1615 Poydras St Ste 900
New Orleans, LA 70112-1282

Mailing address

1615 Poydras St Ste 900
New Orleans, LA 70112-1282
Phone (504) 648-6767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210917000643 LA Part B Supplier - Clinic/Group Practice 4284031287 Receives reassigned benefits from 1 practitioner
Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory

Locations

650 Poydras St
Ste 2319
New Orleans, LA 70130

Practitioners & affiliated clinicians

Practitioners 2

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": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1629650585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 POYDRAS ST STE 900",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121282",
            "telephone_number": "504-648-6767",
            "fax_number": "504-399-5663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 POYDRAS ST STE 900",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701121282",
            "telephone_number": "504-648-6767",
            "fax_number": "504-399-5663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GNO HEALTH & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANIECE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-266-5479"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "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 Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.