ACADIANA WOUND & OSTOMY ON WHEELS (NPI# 1528674280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528674280 |
| Entity Type | Organization |
| Organization Name | ACADIANA WOUND & OSTOMY ON WHEELS |
| Practice Address |
218 Division Street Krotz Springs LA 70750 |
| Practice Telephone | 3375645315 |
| Practice Fax Number | 5043266523 |
| Mailing Telephone | 3375645315 |
| Mailing Fax Number | 5043266523 |
| Enumeration Date | 2020-09-18 |
| Last Update Date | 2020-09-18 |
| Authorized Official Name | LAURA KAISER (ADULT CLINICAL NURSE SPECIALIST) |
| Authorized Official Telephone | 3379453949 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 364S00000X | Clinical Nurse Specialist | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Acadiana WOW | Doing Business As Name - Organization |
| Street Address |
218 DIVISION STREET |
| City | KROTZ SPRINGS |
| State | LA |
| Zip Code | 70750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861701948 | Elizabeth Lynette Martin | Nurse Practitioner | 216 Park Street, Krotz Springs, LA 70750 | 2010-10-06 |
| 1770667701 | Melany Ann West | Nurse Practitioner | 216 Park St, Krotz Springs, LA 70750 | 2006-10-25 |
| 1700014057 | Jennifer Elizabeth Creswell | Nurse Practitioner | 216 Park St, Krotz Springs, LA 70750 | 2009-06-25 |
| 1922268051 | Greene Family Medicine Apmc | Family Medicine | 216 Park St, Krotz Springs, LA 70750 | 2008-06-12 |
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225323819 | Tyler K. Bartley | Clinical Nurse Specialist | 2025 Gravier Street, New Orleans, LA 70112-2269 | 2011-06-13 |
| 1114126240 | Laverne D Williams | Clinical Nurse Specialist | 2021 Perdido Street, New Orleans, LA 70112 | 2007-07-18 |
| 1942291828 | Barbara W Marley | Clinical Nurse Specialist | 111 E 5th St, Room 212, Natchitoches, LA 71457-5724 | 2005-10-31 |
| 1588666762 | Lori Quinn-tate | Clinical Nurse Specialist | 1 Galleria Blvd # 1420, Metairie, LA 70001-2082 | 2005-06-01 |
| 1144223207 | Louise D Frederick | Clinical Nurse Specialist | 441 Heymann Blvd, Lafayette, LA 70503-2611 | 2005-05-23 |
| 1396094405 | Julie M. Castex | Clinical Nurse Specialist | 1514 Jefferson Highway, New Orleans, LA 70121-2429 | 2012-09-05 |
| 1629358866 | Theresa Frederick Bodker | Clinical Nurse Specialist | 1211 Coolidge Blvd, Suite 100, Lafayette, LA 70503-2636 | 2011-08-19 |
| 1487946653 | Rosa M Bustamante-forest | Clinical Nurse Specialist | 2021 Perdido Street, New Orleans, LA 70112 | 2011-05-06 |
| 1962707786 | Deborah Ann Bourgeois | Clinical Nurse Specialist | 1514 Jefferson Hwy, New Orleans, LA 70121-2429 | 2011-01-26 |
| 1659593853 | Coletha Riley | Clinical Nurse Specialist | 1541 Tulane Ave, Rm 505, New Orleans, LA 70112-2821 | 2007-05-03 |
| Find all providers with the same taxonomy | ||||
| City | KROTZ SPRINGS |
| Zip Code | 70750 |
Please comment or provide details below to improve the information on ACADIANA WOUND & OSTOMY ON WHEELS.
| 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.