DR. TYLER TRENTON WANSLEY (NPI# 1962035964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962035964 |
| Entity Type | Individual |
| Full Name | DR. TYLER TRENTON WANSLEY |
| Credential | DNP, PMHNP-BC |
| Practice Address |
23515 Us-190 Mandeville LA 70448 |
| Mailing Address |
23515 Highway 190 Mandeville LA 70448-7334 |
| Practice Telephone | 9856266300 |
| Mailing Telephone | 9856266300 |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2020-04-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
211117 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
23515 US-190 |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346712957 | Start Corporation | Clinic/Center | 23251 South Robin Road, Mandeville, LA 70448 | 2018-12-20 |
| 1952870362 | Oh Project-lafayette | Community/Behavioral Health | 23515 Us 190, Northlake Academy Building, Mandeville, LA 70448 | 2018-11-14 |
| 1083113187 | Amanda Stokes Barker | Occupational Therapist | 1903 University Dr, Mandeville, LA 70448 | 2018-02-05 |
| 1629594544 | Ochsner Clinic LLC | Internal Medicine | 3235 E Causeway Approach, Mandeville, LA 70448 | 2017-08-22 |
| 1831628288 | Katherine Lea Gristina | Speech-Language Pathologist | 307 Copal Street, Mandeville, LA 70448 | 2017-06-08 |
| 1154779551 | Jonathan Ferguson | Specialist/Technologist | 26301 La-1088, Mandeville, LA 70448 | 2016-05-26 |
| 1568821874 | Raymond Wallace IIi | Licensed Vocational Nurse | 23861 South Robin Rd, Mandeville, LA 70448 | 2016-02-15 |
| 1548629140 | Martha Miller | Clinical Nurse Specialist | 400 Mariner's Blvd, Mandeville, LA 70448 | 2016-02-11 |
| 1023483435 | Tina Marie Catalano | Licensed Practical Nurse | 23861 South Robin Road, Mandeville, LA 70448 | 2015-12-10 |
| 1780056085 | David Pilet | Specialist/Technologist | 1907 Henry Clay Street, Mandeville, LA 70448 | 2015-10-26 |
| Find all providers in zip 70448 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508335910 | Oh Project- Southshore | Nurse Practitioner | 23515 U.S. 190, Northlake Academy Building, Mandeville, LA 70447 | 2018-11-14 |
| 1871013235 | Telehealth Psychiatric Services, LLC | Nurse Practitioner | 2059 Timbercreek Ln, Mandeville, LA 70448-7531 | 2017-06-26 |
| 1861459794 | Stacey W. Boudoin | Nurse Practitioner | 635 Lafitte St Ste B, Mandeville, LA 70448-5269 | 2006-04-26 |
| 1427688944 | Jennifer Imbraguglio | Nurse Practitioner | 500 Mariners Plaza Dr Ste 504, Mandeville, LA 70448-6852 | 2020-01-23 |
| 1609331149 | Alicia Seicshnaydre | Nurse Practitioner | 215 Saint Ann Dr Ste 2, Mandeville, LA 70471-3394 | 2019-02-08 |
| 1275008518 | Christopher Johnathon Uhl | Nurse Practitioner | 2810 E Causeway Approach, Mandeville, LA 70448-3502 | 2018-10-12 |
| 1225496466 | Kristin Robinson | Nurse Practitioner | 23515 Highway 190, Mandeville, LA 70448-7334 | 2016-02-02 |
| 1538440052 | Jan E Bruckmeier | Nurse Practitioner | 4050 Lonesome Rd, Ste A, Mandeville, LA 70448-7085 | 2011-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113124 | Rebirth Mental Health Services LLC | Nurse Practitioner | 2116 Gause Blvd W Ste E, Slidell, LA 70460-4120 | 2020-08-03 |
| 1427668748 | Julie Susann Dyrek | Nurse Practitioner | 1 Lakeshore Dr Ste 1830, Lake Charles, LA 70629-0114 | 2020-08-01 |
| 1376169979 | Nancy Ariwodo | Nurse Practitioner | 225 Rue La France, Lafayette, LA 70508-1565 | 2020-06-19 |
| 1578183208 | Donald Glyn Gardner II | Nurse Practitioner | 324 Blue Fox Cir, Haughton, LA 71037-7707 | 2020-04-22 |
| 1629604129 | Raelyn Marie Plauche | Nurse Practitioner | 1951 Florida Ave Sw Ste D&e, Denham Springs, LA 70726-4947 | 2020-03-16 |
| 1114558715 | Danielle J Threatts Aprn LLC | Nurse Practitioner | 208 W Gloria Switch Rd Ste 219, Lafayette, LA 70507-3409 | 2020-02-01 |
| 1992359848 | Harold G Frizzell Psychiatric Services LLC | Nurse Practitioner | 300 Thompson Loop, Lafayette, LA 70506-2820 | 2019-07-29 |
| 1598227779 | Candyce Brown | Nurse Practitioner | 333 Dr Michael Debakey Dr Ste 220, Lake Charles, LA 70601-5888 | 2019-04-04 |
| 1659835346 | Cassandra Thomas-jingles Psychiatric Nurse Practitioner, LLC. | Nurse Practitioner | 156 Mcgehee Dr, Baton Rouge, LA 70815-5012 | 2019-01-26 |
| 1225504962 | Revive Psychiatric Services, LLC | Nurse Practitioner | 302 Cedar Lake Dr, Youngsville, LA 70592-6574 | 2018-10-21 |
| Find all providers with the same taxonomy | ||||
| City | MANDEVILLE |
| Zip Code | 70448 |
Please comment or provide details below to improve the information on DR. TYLER TRENTON WANSLEY.
| 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.