Active NPI
Timothy Eric Vanwinkle, NP
- Family Nurse Practitioner
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 221156
- Practice address
- 1747 Imperial Blvd
Lake Charles, LA 70605-5362 - Phone
- (337) 721-7236
- Fax
- (337) 721-7237
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Registered Nurse | 163WX0800X | RN84018 | LA | |
| Family Nurse Practitioner | 363LF0000X | 221156 | LA | Primary |
Addresses
Primary practice location
1747 Imperial Blvd
Lake Charles, LA 70605-5362
Mailing address
1747 Imperial Blvd
Lake Charles, LA 70605-5362
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 221156 | Other | LA | MEDICAL LICENSE |
| RN84018 | Other | LA | STATE LICENSE # |
Other names 1
- Mr. Timothy Eric Van Winkle
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1747 Imperial Blvd
Lake Charles, LA 70605-5362
Phone (337) 721-7236
Hospital & facility affiliations
- Christus Ochsner St Patrick Hospital
- Lake Charles Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN84018 | LA | MD | Orthopedic Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Orthopaedics and Spine LLC | Current | Accepting new patients | |
| Center for Orthopaedics and Spine LLC | Current | Accepting new patients |
Locations
1355 Sam Houston Jones Pkwy
Ste 340
Lake Charles, LA 70611
Phone (337) 721-7236
501 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8258
1747 Imperial Blvd
Lake Charles, LA 70605
Phone (337) 721-7236
Interoperability endpoints
- tvanwinkle@direct.centerforortho.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Lake Charles, LA
- NPI 1538703335
-
- Orthopaedic Surgery Physician
- Lake Charles, LA
- NPI 1134877392
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Student Health Clinic/Center
- Lake Charles, LA
- NPI 1093927105
Hospital
-
- Student Health Clinic/Center
- Lake Charles, LA
- NPI 1205040995
Hospital
-
- Student Health Clinic/Center
- Grand Chenier, LA
- NPI 1407068299
Hospital
-
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1629076468
-
- Student Health Clinic/Center
- Lake Charles, LA
- NPI 1710191473
Hospital
-
- Gastroenterology Physician
- Lake Charles, LA
- NPI 1285351411
Hospital
-
- Rheumatology Physician
- Lake Charles, LA
- NPI 1659424075
Hospital
-
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1972549855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1922018167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1747 IMPERIAL BLVD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1747 IMPERIAL BLVD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055362",
"telephone_number": "337-721-7236",
"fax_number": "337-721-7237"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANWINKLE",
"first_name": "TIMOTHY",
"middle_name": "ERIC",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0800X",
"taxonomy_group": "",
"desc": "Registered Nurse, Orthopedic",
"state": "LA",
"license": "RN84018",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "221156",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "221156",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "RN84018",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TIMOTHY",
"last_name": "VAN WINKLE",
"middle_name": "ERIC",
"prefix": "MR.",
"credential": "NP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.