WOUND TEAM (NPI# 1740541200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740541200 |
| Entity Type | Organization |
| Organization Name | WOUND TEAM |
| Practice Address |
636 Lobdell Ave Baton Rouge LA 70806-6318 |
| Mailing Address |
Po Box 688 Belle Chasse LA 70037-0688 |
| Practice Telephone | 5049197511 |
| Practice Fax Number | 5046562865 |
| Mailing Telephone | 5049197511 |
| Mailing Fax Number | 5046562865 |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |
| Authorized Official Name | MR. DENIS JAMES LOCKLER (MEMBER) |
| Authorized Official Telephone | 5049197511 |
| Authorized Official Credential | ANP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP04755 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
636 LOBDELL AVE |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-6318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578039921 | Red Stick Healthcare | Nurse Practitioner | 16733 Wenwood Dr, Baton Rouge, LA 70817-6957 | 2018-10-23 |
| 1598038267 | Rebecca Zeringue Hunt | Nurse Practitioner | 17912 Monitor Ave, Baton Rouge, LA 70817-2647 | 2012-02-10 |
| 1083872006 | Marguerite Mary Moffatt | Nurse Practitioner | 12875 Scenic Hwy, Baton Rouge, LA 70807-1007 | 2008-05-27 |
| 1053509596 | Margaret R Delaune | Nurse Practitioner | 3600 Florida Blvd., Baton Rouge, LA 70806 | 2007-10-10 |
| 1295860815 | Christy Cook Perry | Nurse Practitioner | 4045 North Blvd Ste B, Baton Rouge, LA 70806-3830 | 2007-02-22 |
| 1184617623 | Joyce Catherine Mire | Nurse Practitioner | 8585 Picardy Ave Ste 114, Hmg- Baton Rouge General, Baton Rouge, LA 70809-3679 | 2005-08-30 |
| 1770580060 | Kirby Dwayne Humbles | Nurse Practitioner | 8333 Goodwood Blvd # Na, Baton Rouge, LA 70806-7744 | 2005-07-01 |
| 1396285821 | Carrie Perry | Nurse Practitioner | 4950 Essen Ln Ste 500, Baton Rouge, LA 70809-3738 | 2017-03-02 |
| 1740541440 | Tanisha Burrell Smith | Nurse Practitioner | 4950 Essen Ln, Suite 300, Baton Rouge, LA 70809-3738 | 2012-05-30 |
| 1073879508 | Dustin David Denicola | Nurse Practitioner | 4950 Essen Ln, Suite 300, Baton Rouge, LA 70809-3738 | 2012-04-10 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on WOUND TEAM.
| 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.