NPIMap

Individual provider Active NPI

Celeste Woodard Brown, FNP-C

  • Family Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1770192171
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
211815 Issued in LA
Practice address
1715 Wolf Cir
Lake Charles, LA 70605-2353
Phone
(337) 480-7499
Fax
(337) 480-7498
NPI assigned
Jul 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 211815 LA
Family Nurse Practitioner 363LF0000X 211815 LA Primary

Addresses

Primary practice location

1715 Wolf Cir
Lake Charles, LA 70605-2353

Mailing address

PO Box 122525 Dept 2525
Dallas, TX 75312-0001
Phone (337) 494-2772

Other practice location 1

2770 3rd Ave Ste 240
Lake Charles, LA 70601-8994
Phone (337) 494-4656

Other identifiers 1

IdentifierTypeStateIssuer
211815OtherLASTATE LICENSE

Other names 1

  • Mrs. Celeste Woodard Brown Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210727000190 LA Practitioner - Nurse Practitioner 4789087917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Charles Medical Services Urology LLCGroup PAC ID 4284738063, 5 clinicians

Practice addresses (Care Compare)

1715 Wolf Cir
Lake Charles, LA 70605-2353
Phone (337) 480-7499

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Charles Medical Services Urology LLC CurrentSince Jul 12, 2021 Accepting new patients
LCMS Obstetrics and Gynecology LLC PastSince Aug 29, 2021 Accepting new patients

Locations

2770 3rd Ave
Ste 240
Lake Charles, LA 70601
Phone (337) 494-4656

1715 Wolf Cir
Lake Charles, LA 70605
Phone (337) 480-7499

619 S Huntington St
Sulphur, LA 70663
Phone (337) 494-3278

Interoperability endpoints

  • Direct secure messaging: cbrown5281954@direct.casso.us.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664150400000",
    "number": "1770192171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122525 DEPT 2525",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753120001",
            "telephone_number": "337-494-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 WOLF CIR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052353",
            "telephone_number": "337-480-7499",
            "fax_number": "337-480-7498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2770 3rd Ave Ste 240",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706018994",
            "country_code": "US",
            "telephone_number": "337-494-4656",
            "fax_number": "337-494-4657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CELESTE",
        "middle_name": "WOODARD",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "211815",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "211815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "211815",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELESTE",
            "last_name": "BROWN",
            "middle_name": "WOODARD",
            "prefix": "MRS.",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.