MS. WRONETTA ANN CHARLES (NPI# 1558424366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558424366 |
| Entity Type | Individual |
| Full Name | MS. WRONETTA ANN CHARLES |
| Credential | DNP, APRN, BC, FNP-C |
| Practice Address |
5367 I 49 S Service Rd Opelousas LA 70570-0743 |
| Mailing Address |
2161 Babe St Opelousas LA 70570-3252 |
| Practice Telephone | 3376780366 |
| Practice Fax Number | 3372238301 |
| Mailing Telephone | 3372900745 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP04507 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP04507 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1479438 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8762 Highway 182, Opelousas, LA 705705603 | 3379422005 |
| Street Address |
5367 I 49 S SERVICE RD |
| City | OPELOUSAS |
| State | LA |
| Zip Code | 70570-0743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558786632 | Aimee Lejeune | Social Worker | 5367 I 49 S Service Rd, Opelousas, LA 70570-0743 | 2014-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821608282 | Dream Angels Agency | Home Health | 356 Country Ridge Rd., 21, Opelousas, LA 70570 | 2020-07-31 |
| 1588286389 | Kasey Dunn | Nurse Practitioner | 3983 Interstate-49 South Service Rd., Suite 103, Opelousas, LA 70570 | 2020-05-14 |
| 1538704010 | Southern Family Medicine, LLC | Nurse Practitioner | 10818 Hwy. 190, Opelousas, LA 70570 | 2019-11-08 |
| 1952952061 | Check Point Urgent Care | Clinic/Center | 2331 S Union Street, Opelousas, LA 70570 | 2019-09-20 |
| 1639734015 | Southern Pharmacy LLC | Pharmacy | 3939 I-49 South Service Rd., Opelousas, LA 70570 | 2019-05-01 |
| 1245708452 | Anthony Ray Parker Jr. | Case Manager/Care Coordinator | 208 Ballard Loop, Opelousas, LA 70570 | 2018-11-06 |
| 1306329511 | Katherine D Trahan | Pharmacy | 3935 I-49 South Service Rd, Opelousas, LA 70570 | 2018-09-13 |
| 1548752942 | Justin Y Auzenne | Driver | 230 Lemelle St, Opelousas, LA 70570 | 2018-05-31 |
| 1063920650 | Laykin Bellard | Nurse Practitioner | 3975 I-49 Frontage Rd, Suite 201, Opelousas, LA 70570 | 2018-01-17 |
| 1124535562 | Lisa M Miller | Counselor | 1211 Austin Rd, Opelousas, LA 70570 | 2018-01-08 |
| Find all providers in zip 70570 | ||||
| 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 |
|---|---|---|---|---|
| 1811339591 | Valecia Carter Vaughn | Nurse Practitioner | 8762 Hwy 162, Opelousas, LA 70590 | 2013-07-23 |
| 1073022950 | Mind and Body Connections LLC | Nurse Practitioner | 2161 Babe St, Opelousas, LA 70570-3252 | 2017-09-24 |
| 1477983062 | Healthcare Dimensions LLC | Nurse Practitioner | 226 Louisiana Ave, Opelousas, LA 70570-3346 | 2013-11-18 |
| 1366684201 | Oceans Physicians Group LLC | Nurse Practitioner | 1310 Heather Dr, Opelousas, LA 70570-7714 | 2009-03-24 |
| 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 |
| 1962035964 | Tyler Trenton Wansley | Nurse Practitioner | 23515 Us-190, Mandeville, LA 70448 | 2020-02-18 |
| 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 |
| 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.