CAMILLE THOMPSON WISE (NPI# 1013949213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013949213 |
| Entity Type | Individual |
| Full Name | CAMILLE THOMPSON WISE |
| Credential | NP |
| Practice Address |
104 Morris Cir Homer LA 71040-2100 |
| Mailing Address |
620 E College St Homer LA 71040-3202 |
| Practice Telephone | 3189271110 |
| Practice Fax Number | 3189271116 |
| Mailing Telephone | 3189272024 |
| Mailing Fax Number | 3189273547 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2008-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN078196 AP04243 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1721123 | 05 |
| Street Address |
104 MORRIS CIR |
| City | HOMER |
| State | LA |
| Zip Code | 71040-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134120355 | Ariel G.t. Ton | Internal Medicine | 104 Morris Cir, Homer, LA 71040-2100 | 2005-08-10 |
| 1912138280 | Amelia C Jeter | Nurse Practitioner | 104 Morris Cir, Homer, LA 71040-2100 | 2009-08-04 |
| 1497787691 | Ashley Simpson Thomas | Nurse Practitioner | 104 Morris Cir, Homer, LA 71040-2100 | 2006-07-07 |
| 1669402582 | John Henry Smith IIi | Family Medicine | 104 Morris Cir, Homer, LA 71040-2100 | 2006-07-04 |
| 1831137579 | Helen Denise Butler | Nurse Practitioner | 104 Morris Cir, Homer, LA 71040 | 2006-06-03 |
| 1033175906 | Family Medical Clinic of Homer, La Inc | Family Medicine | 104 Morris Cir, Homer, LA 71040-2100 | 2006-04-21 |
| 1346205507 | Clifton Wales Salmon Jr. | Family Medicine | 104 Morris Cir, Homer, LA 71040-2100 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609066646 | Homer Memorial Hospital | Nurse Anesthetist, Certified Registered | 620 East College St., Homer, LA 71040 | 2007-07-26 |
| 1881806164 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 598 Harmon Loop, Homer, LA 71040 | 2007-05-07 |
| 1104048214 | A and L of Northeast La Inc | Day Training, Developmentally Disabled Services | 911 West Main, Homer, LA 71040 | 2007-05-02 |
| 1356409619 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 3250 Hwy 79, Homer, LA 71040 | 2006-12-05 |
| 1851343529 | Claiborne Manor Nursing Home, LLC | Skilled Nursing Facility | 6942 Highway 79 North, Homer, LA 71040 | 2006-05-17 |
| 1679523807 | Larry Don Ezell | Emergency Medicine | 620 Ecollege Street, Homer, LA 71040 | 2006-05-10 |
| 1386856680 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 598 Harmon Loop, Homer, LA 71040 | 2007-05-07 |
| 1720290034 | Southern Ingenuity Inc | Day Training, Developmentally Disabled Services | 598 Harmon Loop, Homer, LA 71040 | 2007-05-07 |
| 1245452234 | Melvin Harold Procell | Dentist | 5220 Highway 79, Homer, LA 71040-2002 | 2007-05-02 |
| 1699225813 | Claiborne Operator Group LLC | Skilled Nursing Facility | 6942 Highway 79, Homer, LA 71040-2023 | 2016-10-12 |
| Find all providers in zip 71040 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982229290 | Rachael Brown Kincaid | Nurse Practitioner | 4300 Bartlett St, Homer, AK 99603-7000 | 2020-06-11 |
| 1164575452 | Melissa Ann Bunker | Nurse Practitioner | 880 E End Rd, Homer, AK 99603-7201 | 2007-01-19 |
| 1386652030 | Patricia J Curtin | Nurse Practitioner | 82 Copeland Ave, Homer, NY 13077-1528 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497369706 | Karla Matthews | Nurse Practitioner | 3710 South Rochenblave St., New Orleans, LA 70125-1003 | 2020-09-03 |
| 1972117455 | Erin Mccabe | Nurse Practitioner | 3712 Tartan Dr, Metairie, LA 70003-1640 | 2020-09-02 |
| 1023620259 | Caroline Hebert | Nurse Practitioner | 1297 Saint Charles St Ste H, Houma, LA 70360-2869 | 2020-08-19 |
| 1548871577 | Jacob M Theriot | Nurse Practitioner | 2640 County Club Rd., Lake Charles, LA 70605 | 2020-08-13 |
| 1124638036 | Kimberly Roshelle Coney | Nurse Practitioner | 62112 Bennett Rd, Roseland, LA 70456-1706 | 2020-08-05 |
| 1356951396 | Advance Clinical Associates LLC | Nurse Practitioner | 2505 Cypress Springs Ave, Ruston, LA 71270-5109 | 2020-08-05 |
| 1487264594 | Neely Primary | Nurse Practitioner | 102 Independence Blvd, Lafayette, LA 70506-6085 | 2020-08-04 |
| 1225648629 | Indria Kendrick | Nurse Practitioner | 62 Creduer Rd, Pineville, LA 71360-9165 | 2020-07-31 |
| 1770192171 | Celeste Woodard Brown | Nurse Practitioner | 751 Bayou Pines East Dr Ste L, Lake Charles, LA 70601-7196 | 2020-07-31 |
| 1306455498 | Headache Center Nola, LLC | Nurse Practitioner | 2221 Clearview Pkwy Ste 203, Metairie, LA 70001-2497 | 2020-07-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.