ANNIE WISE (NPI# 1164699690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164699690 |
| Entity Type | Individual |
| Full Name | ANNIE WISE |
| Credential | NP |
| Practice Address |
1281 W Tunnel Blvd Houma LA 70360-2794 |
| Practice Telephone | 9858762321 |
| Practice Fax Number | 9859170808 |
| Mailing Telephone | 9858762321 |
| Mailing Fax Number | 9859170808 |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2015-08-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
AP03922 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1154636 | 05 |
| Street Address |
1281 W TUNNEL BLVD |
| City | HOUMA |
| State | LA |
| Zip Code | 70360-2794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205852746 | Arunavathi T. Sangisetty, M.d., Apmc | Pediatrics | 1281 W Tunnel Blvd, Houma, LA 70360-2794 | 2006-07-15 |
| 1720444946 | Janie Trosclair | Nurse Practitioner | 1281 W Tunnel Blvd, Houma, LA 70360-2794 | 2016-01-04 |
| 1740584945 | Alison Marie Hebert | Nurse Practitioner | 1281 W Tunnel Blvd, Houma, LA 70360-2794 | 2011-01-03 |
| 1467669887 | Frederick S Risener Jr. | Family Medicine | 1281 W Tunnel Blvd, Houma, LA 70360-2794 | 2007-05-16 |
| 1215953658 | Arunavathi Sangisetty | Pediatrics | 1281 W Tunnel Blvd, Houma, LA 70360-2794 | 2006-07-15 |
| 1396761755 | Urology Health Center LLC | Urology | 1281 W Tunnel Blvd, Houma, LA 70360-2794 | 2006-07-15 |
| 1982620373 | Ramarao Machari Denduluri | Urology | 1281 W Tunnel Blvd, Houma, LA 70360-2794 | 2006-07-15 |
| 1578589966 | Mohan D. Gandhi, M.d. Apmc | Allergy & Immunology | 1281 W Tunnel Blvd, Houma, LA 70360-2794 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382697 | Start Corporation | Clinic/Center | 106 School Street, Houma, LA 70360 | 2020-09-24 |
| 1013474196 | Christi Thibodeaux Rodrigue | Case Manager/Care Coordinator | 427west Tunnel Blvd, Houma, LA 70360 | 2019-02-26 |
| 1053801415 | Louisiana Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1420 Saint Charles St, Houma, LA 70360 | 2018-05-11 |
| 1447780044 | Shakira Harding | Counselor | 148 Columbus Street, Houma, LA 70360 | 2017-06-15 |
| 1639608995 | Rakitha Monique Volter-jones | Counselor | 6522 West Main Street, Houma, LA 70360 | 2017-06-08 |
| 1588103469 | Eyecare Specialties | Ophthalmology | 564 Valhi Blvd, Houma, LA 70360 | 2017-02-13 |
| 1538605464 | Houma Dental Associates, LLC | Dentist | 5934 West Main St, Houma, LA 70360 | 2017-01-17 |
| 1649721143 | Bio-medical Applications of Louisiana, LLC | Clinic/Center | 143 War Horse Place, Houma, LA 70360 | 2016-10-19 |
| 1528417045 | Mandi Gaubert Bonvillain | Psychologist | 1018 Verrett Street, Houma, LA 70360 | 2016-06-06 |
| 1295182434 | Kerry M Guidry | Chiropractor | 6902 West Main Street, Houma, LA 70360 | 2016-05-18 |
| Find all providers in zip 70360 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427597459 | Julie Henderson Egan | Clinical Nurse Specialist | 5000 Hennessy Blvd, Baton Rouge, LA 70808-4375 | 2017-02-23 |
| 1982754289 | Advanced Comprehensive Testing Inc | Clinical Nurse Specialist | 4560 North Blvd, Suite 115, Baton Rouge, LA 70806-4043 | 2007-01-11 |
Please comment or provide details below to improve the information on ANNIE WISE.
| 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.