Individual provider Active NPI

Brittani Mejia Wild, PCFNP DNP

  • Family Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1881124873
Registry record updated Jun 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09334 Issued in LA
Practice address
4720 S I 10 Service Rd W
Metairie, LA 70001-7404
Phone
(504) 988-8000
NPI assigned
Jun 13, 2017
Last updated
Jun 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP09334 LA Primary

Addresses

Primary practice location

4720 S I 10 Service Rd W
Metairie, LA 70001-7404

Mailing address

4825 Alexander Dr
Metairie, LA 70003-2603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171024000994 LA Practitioner - Nurse Practitioner 3274809009 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09334LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Aug 17, 2020 Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 17, 2020 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Oct 1, 2017 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Oct 1, 2017 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients

Locations

4720 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-4583

1319 Jefferson Hwy
New Orleans, LA 70121

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1514 Jefferson Hwy
New Orleans, LA 70121

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

1430 Tulane Ave
#8637
New Orleans, LA 70112

Organizations & group practices 5

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": "1497312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497312000000",
    "number": "1881124873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 ALEXANDER DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700032603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 S I 10 SERVICE RD W",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700017404",
            "telephone_number": "504-988-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILD",
        "first_name": "BRITTANI",
        "middle_name": "MEJIA",
        "name_prefix": "Dr.",
        "credential": "PCFNP DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-13",
        "last_updated": "2017-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.