Active NPI
Southwest Wellness LLC
- Adult Health Nurse Practitioner
- Slidell, LA
National Provider Identifier
1801682281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- Legal business name
- SOUTHWEST WELLNESS LLC
- Practice address
- 620 Oak Harbor Blvd Ste 101
Slidell, LA 70458-8862 - Phone
- (985) 774-8091
- NPI assigned
- Apr 15, 2025
- 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
- Dr. Chu Jun Richard, DNP, MSN, AGPCNP-C
- Title
- Nurse Practitioner
- Phone
- (504) 957-9352
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | Primary |
Addresses
Primary practice location
620 Oak Harbor Blvd Ste 101
Slidell, LA 70458-8862
Mailing address
620 Oak Harbor Blvd Ste 101
Slidell, LA 70458-8862
Phone (985) 774-8091
National Provider Directory
National Provider DirectoryLocations
620 Oak Harbor Blvd
Ste 101
Slidell, LA 70458
Phone (985) 710-7777
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Slidell, LA
- NPI 1598169815
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744675200000",
"number": "1801682281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 OAK HARBOR BLVD STE 101",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704588862",
"telephone_number": "985-774-8091"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 OAK HARBOR BLVD STE 101",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704588862",
"telephone_number": "985-774-8091"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-15",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A",
"authorized_official_last_name": "RICHARD",
"authorized_official_first_name": "CHU JUN",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "504-957-9352",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DNP, MSN, AGPCNP-C"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.