WK Ruston Pediatrics

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

WK RUSTON PEDIATRICS

Practice address

931 N Trenton St
Ruston, LA 71270-3327

Phone

(318) 497-7750

Fax

(318) 467-7757

NPI assigned

Sep 19, 2023

Organization subpart

No

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

Authorized official

Name

Mary Jane Ward

Title

Sr. VP Finance

Phone

(318) 716-4939

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lise M Huddleston, MD

  • Obstetrics & Gynecology Physician
  • Shreveport, LA
  • NPI 1962822965

  Single Specialty

  NPD (past)
• Dayanny Langiulli, DO

  • Pediatrics Physician
  • Ruston, LA
  • NPI 1316252760
  NPD (past)
• Julie Mays, APRN, CPNP

  • Pediatric Nurse Practitioner
  • Ruston, LA
  • NPI 1578008090
  NPD (past)

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

{
    "created_epoch": "1695081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1679351795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 N TRENTON ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703327",
            "telephone_number": "318-497-7750",
            "fax_number": "318-467-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 N TRENTON ST",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712703327",
            "telephone_number": "318-497-7750",
            "fax_number": "318-467-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WK RUSTON PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-19",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "SR. VP FINANCE",
        "authorized_official_telephone_number": "318-716-4939"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Wisterman
• Gabriel Milan Witherington, BCBA
• Paige H Witt, PT
• WK Family Medicine Ruston
• WK Primary Care Ruston
• Ashley P Wood, OT
• Kelise Woods
• Sheena Woods
• William Word, ATC
• Jenna Worley, MA, LPC

• Pediatrics Physician in Ruston, LA
• Providers in Ruston, LA by specialty
• Pediatrics Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.