Organization Active NPI

Integrated Women's Health LLC

  • Primary Care Nurse Practitioner
  • Gretna, LA
National Provider Identifier
1891231353
Registry record updated Mar 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP07277 Issued in LA
Legal business name
INTEGRATED WOMEN'S HEALTH LLC
Practice address
110 Bellemeade Blvd Ste a
Gretna, LA 70056-7142
Phone
(504) 309-2576
Fax
(504) 309-2589
NPI assigned
Jan 9, 2017
Last updated
Mar 9, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2017

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

Authorized official

Name
Tresa Wallace, NP
Title
Owner
Phone
(504) 309-2576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP07277 LA Primary

Addresses

Primary practice location

110 Bellemeade Blvd Ste a
Gretna, LA 70056-7142

Mailing address

110 Bellemeade Blvd Ste a
Gretna, LA 70056-7142
Phone (504) 309-2576

National Provider Directory

National Provider Directory

Locations

1621 Sheridan Lake Rd
Ste B
Rapid City, SD 57702
Phone (605) 388-2655

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1891231353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BELLEMEADE BLVD STE A",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567142",
            "telephone_number": "504-309-2576",
            "fax_number": "504-309-2589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BELLEMEADE BLVD STE A",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700567142",
            "telephone_number": "504-309-2576",
            "fax_number": "504-309-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED WOMEN'S HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "TRESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-309-2576",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "AP07277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.