Active NPI
Integrated Women's Health LLC
- Primary Care Nurse Practitioner
- Gretna, LA
National Provider Identifier
1891231353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AP07277
- 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, 2017
- 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
- Tresa Wallace, NP
- Title
- Owner
- Phone
- (504) 309-2576
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Nurse Practitioner
- Rapid City, SD
- NPI 1508178666
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.