Nola Health & Wellness LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

NOLA HEALTH & WELLNESS LLC

Practice address

3205 Orleans Ave
New Orleans, LA 70119-3916

Phone

(504) 438-3153

Fax

(504) 438-3154

NPI assigned

Mar 15, 2024

Last updated

May 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacy Green, NPNPI 1366062754

Title

Owner

Phone

(504) 654-7126

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacy P Green

  • Family Nurse Practitioner
  • New Orleans, LA
  • NPI 1366062754
  NPD Authorized official

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1851150502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7257 E TAMARON BLVD",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701284602",
            "telephone_number": "504-654-7126",
            "fax_number": "504-438-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 ORLEANS AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701193916",
            "telephone_number": "504-438-3153",
            "fax_number": "504-438-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLA HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-654-7126",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366062754",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nola Counseling, LLC
• Nola Dental Care
• Nola Detox, LLC (Nola Detox)
• Nola Family Counseling, L.L.C.
• Nola Family Support Inc
• Nola Health Care, LLC
• Nola Health Solutions. LLC
• Nola Innovative Psychiatric Services, LLC
• Nola Integrated Healthcare, LLC
• Nola Integrative Wellness LLC

• Primary Care Nurse Practitioner in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Primary Care Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.