Wound Care NP of Southeast la LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

AP09197 Issued in LA

Legal business name

WOUND CARE NP OF SOUTHEAST LA LLC

Practice address

1401 Foucher St
New Orleans, LA 70115-3515

Phone

(504) 897-7732

NPI assigned

May 23, 2017

Organization subpart

No

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

Authorized official

Name

Jennifer Melton Ducote

Title

FNP-C

Phone

(504) 897-7732

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1679001556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70380 HIGHWAY 21",
            "address_2": "SUITE 2 #242",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704333420",
            "telephone_number": "504-236-3751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 FOUCHER ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153515",
            "telephone_number": "504-897-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE NP OF SOUTHEAST LA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "DUCOTE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MELTON",
        "authorized_official_title_or_position": "FNP-C",
        "authorized_official_telephone_number": "504-897-7732"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "LA",
            "license": "AP09197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Wormser
• Christopher J Wormuth, MD
• Andrew Worrel
• Bridget Worth, DO
• Benjamin Heath Wortham, LMSW
• Wound Pros Louisiana
• Mariah Wren
• Alexandra T. Wright, M.D.
• Andrea Marie Wright, LCSW-BACS
• Brittney Nicole Wright, MCD

• Medical Specialty Clinic/Center in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Medical Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.