Individual provider Active NPI

Wanda Elizabeth McKeithen, MSN, APRN, FNP-C

  • Nurse Practitioner
  • West Monroe, LA
National Provider Identifier
1780537415
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
245560 Issued in LA
Practice address
3424 Cypress St
West Monroe, LA 71291-7310
Phone
(318) 450-4626
Fax
(318) 600-4078
NPI assigned
Feb 20, 2026
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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 245560 LA Primary
Family Nurse Practitioner 363LF0000X 245560 LA

Addresses

Primary practice location

3424 Cypress St
West Monroe, LA 71291-7310

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (318) 450-4626

Other practice location 1

2020 Tower Dr Ste 100
Monroe, LA 71201-5197
Phone (318) 998-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
245560LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Urgent Care LLC CurrentSince Aug 6, 2018 Accepting new patients

Locations

2020 Tower Dr
Ste 100
Monroe, LA 71201
Phone (318) 966-6220

3424 Cypress St
West Monroe, LA 71291
Phone (318) 450-4626

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1771545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1780537415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "318-450-4626",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 CYPRESS ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917310",
            "telephone_number": "318-450-4626",
            "fax_number": "318-600-4078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2020 Tower Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712015197",
            "country_code": "US",
            "telephone_number": "318-998-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEITHEN",
        "first_name": "WANDA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-02-20",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "245560",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "245560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.