Organization Active NPI

Wellness Express, LLC

  • Clinic/Center
  • Lafayette, LA
National Provider Identifier
1699882159
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.