Family Health and Wellness of Chalmette, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP04945 Issued in LA

Legal business name

FAMILY HEALTH AND WELLNESS OF CHALMETTE, LLC

Practice address

410 W Judge Perez Dr
Chalmette, LA 70043-4906

Phone

(504) 249-5187

Fax

(504) 304-9951

NPI assigned

Apr 18, 2018

Organization subpart

No

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

Authorized official

Name

Paula Licciardi, APRN

Title

Principal Owner

Phone

(504) 249-5187

Specialties & licenses 1

Addresses

Other names 1

• Family Health and Wellness of Chalmette Doing business as

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

{
    "created_epoch": "1524009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524009600000",
    "number": "1639666332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 W JUDGE PEREZ DR",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700434906",
            "telephone_number": "504-249-5187",
            "fax_number": "504-304-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 W JUDGE PEREZ DR",
            "city": "CHALMETTE",
            "state": "LA",
            "postal_code": "700434906",
            "telephone_number": "504-249-5187",
            "fax_number": "504-304-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH AND WELLNESS OF CHALMETTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-18",
        "last_updated": "2018-04-18",
        "status": "A",
        "authorized_official_last_name": "LICCIARDI",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "PRINCIPAL OWNER",
        "authorized_official_telephone_number": "504-249-5187",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health and Wellness of Chalmette",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Health and Wellness of Chalmette",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Chalmette, LA
• Providers in Chalmette, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; 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.