Active NPI
Gwendolyn E Wheeler, FNP-BC
- Nurse Practitioner
- Franklinton, LA
National Provider Identifier
1811974405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP03660
- Practice address
- 2004 J Marvin Magee Dr
Franklinton, LA 70438 - Phone
- (985) 839-3555
- Fax
- (985) 839-6320
- NPI assigned
- Dec 27, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN056993 | LA | |
| Nurse Practitioner | 363L00000X | AP03660 | LA | Primary |
Addresses
Primary practice location
2004 J Marvin Magee Dr
Franklinton, LA 70438
Mailing address
1900 Main Street
Franklinton, LA 70438
Phone (985) 839-4431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1103489 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN056993 | LA | MD | Registered Nurse |
| AP03660 | LA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280707200000",
"number": "1811974405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 MAIN STREET",
"city": "FRANKLINTON",
"state": "LA",
"postal_code": "70438",
"telephone_number": "985-839-4431",
"fax_number": "985-795-0876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2004 J MARVIN MAGEE DR",
"city": "FRANKLINTON",
"state": "LA",
"postal_code": "70438",
"telephone_number": "985-839-3555",
"fax_number": "985-839-6320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHEELER",
"first_name": "GWENDOLYN",
"middle_name": "E",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-27",
"last_updated": "2010-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "LA",
"license": "RN056993",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "AP03660",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1103489",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Franklinton, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.