Mayte McWilliams, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

226816 Issued in LA

Practice address

5751 Shed Rd Ste 120
Bossier City, LA 71111-5662

Phone

(318) 935-1922

Fax

(318) 935-1925

NPI assigned

Jul 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmcwilliam@direct.wkhs.com

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.

• Applegate Health Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Lake Charles, LA
  • NPI 1346775210

  LA

  Medicare reassignment NPD (past)
• Applegate Health Services, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Oakdale, LA
  • NPI 1548893563
  NPD
• Applegate Health Services, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Slidell, LA
  • NPI 1699396085
  NPD
• Applegate Health Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Jasper, AL
  • NPI 1891494415
  NPD
• Applegate Health Services, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Monroe, LA
  • NPI 1801326723
  NPD (past)
• Applegate Health Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bossier City, LA
  • NPI 1710412960
  NPD (past)

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1952036618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 SHED RD STE 120",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115662",
            "telephone_number": "318-935-1922",
            "fax_number": "318-935-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 SHED RD STE 120",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115662",
            "telephone_number": "318-935-1922",
            "fax_number": "318-935-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWILLIAMS",
        "first_name": "MAYTE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "226816",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN142061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dia McMullen
• Courtney McNeal
• Doran Arthur McQueary, DPT
• Sierra McRae
• Jared McWhiney, DPT
• Kevin Dakota Meadows, PHARM.D
• Medical Infusion Therapy of la
• Medical Masterz Courier and Transport LLC
• Medication Management Consultants LLC
• Medivue LLC

• All providers in Bossier City, LA
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.