Active NPI
Wellness Express, LLC
- Clinic/Center
- Lafayette, LA
National Provider Identifier
1699882159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- WELLNESS EXPRESS, LLC
- Practice address
- 312 Guilbeau Rd Ste 5D
Lafayette, LA 70506-6954 - Phone
- (337) 988-1138
- Fax
- (337) 984-5037
- NPI assigned
- Aug 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Shirlene A Young, RN
- Title
- Director
- Phone
- (337) 988-1138
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
312 Guilbeau Rd Ste 5D
Lafayette, LA 70506-6954
Mailing address
312 Guilbeau Rd Ste 5D
Lafayette, LA 70506-6954
Phone (337) 988-1138
National Provider Directory
National Provider DirectoryLocations
312 Guilbeau Rd
Ste 5D
Lafayette, LA 70506
Phone (337) 988-1138
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1699882159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 GUILBEAU RD STE 5D",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705066954",
"telephone_number": "337-988-1138",
"fax_number": "337-984-5037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "312 GUILBEAU RD STE 5D",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705066954",
"telephone_number": "337-988-1138",
"fax_number": "337-984-5037"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLNESS EXPRESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "SHIRLENE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "337-988-1138",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.