SLIDELL FAMILY MEDICAL AND WELLNESS CARE, LLC (NPI# 1629405477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629405477 |
| Entity Type | Organization |
| Organization Name | SLIDELL FAMILY MEDICAL AND WELLNESS CARE, LLC |
| Practice Address |
1301 Brownswitch Rd Suite C Slidell LA 70461-1695 |
| Mailing Address |
1375 Corporate Square Dr Slidell LA 70458-3147 |
| Practice Telephone | 9853268011 |
| Practice Fax Number | 9853268015 |
| Mailing Telephone | 9853268011 |
| Mailing Fax Number | 9853268015 |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2014-02-03 |
| Authorized Official Name | MS. CHERYL L KREWSKY (SOLE MEMBER) |
| Authorized Official Telephone | 9853268011 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP05069 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1301 BROWNSWITCH RD SUITE C |
| City | SLIDELL |
| State | LA |
| Zip Code | 70461-1695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598126898 | Eqc Enterprise | In Home Supportive Care | 1301 Brownswitch Rd, Ste D, Slidell, LA 70461-1695 | 2016-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013553577 | Kira Gilmore Smith | Nurse Practitioner | Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 | 2019-11-20 |
| 1104477256 | Peter Khong | Pharmacy | 2915 Us-190, Mandeville, LA 70461 | 2019-09-20 |
| 1457844706 | April Hughes Whitfield | Counselor | 1313 Brownswitch Rd, Ste D, Slidell, LA 70461 | 2018-06-12 |
| 1154824761 | Lisa Michele Mcclinton | Counselor | 1212 Montgomery Blvd, Slidell, LA 70461 | 2018-03-10 |
| 1952816902 | Keiona Monae Thompson | Counselor | 1121 Clairise Ct, Slidell, LA 70461 | 2017-12-12 |
| 1275048688 | Aisha Cade | Counselor | 250 Cross Gates Blvd, Slidell, LA 70461 | 2017-12-07 |
| 1598285405 | Sureway Transits | Non-emergency Medical Transport (VAN) | 135 Rue De La Paix, Slidell, LA 70461 | 2017-06-21 |
| 1043743198 | Natasha Hunter | Counselor | 1650 Barrymore St, Slidell, LA 70461 | 2017-04-05 |
| 1154873891 | Chaise A Bennett | Physical Therapist | 2040 Gause Blvd, Suite 6, Slidell, LA 70461 | 2016-10-28 |
| 1104373539 | Kaonta Simmons | Counselor | 2185 Wellington Ln, Slidell, LA 70461 | 2016-09-01 |
| Find all providers in zip 70461 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770118374 | Jourdan Pellegrini | Nurse Practitioner | 114 Annette Dr, Slidell, LA 70458-6016 | 2020-03-04 |
| 1013553577 | Kira Gilmore Smith | Nurse Practitioner | Pelican Urgent Care, 2375 Gause Blvd. East, Slidell, LA 70461 | 2019-11-20 |
| 1538703202 | Damita Veleka Carter-holmes | Nurse Practitioner | 1341 Denmark Ct, Slidell, LA 70461-4562 | 2019-11-05 |
| 1992350581 | Sharlana Wilson | Nurse Practitioner | 1218 Kings Row, Slidell, LA 70461-4434 | 2019-08-09 |
| 1699257428 | Healthcare In Harmony, LLC | Nurse Practitioner | 106 Autumn Lakes Cv, Slidell, LA 70461-5153 | 2018-08-29 |
| 1205333622 | Rebecca Bullard Ezell | Nurse Practitioner | 1850 Gause Blvd E Ste 101, Slidell, LA 70461-5454 | 2018-04-11 |
| 1275044331 | Dana R E Brown | Nurse Practitioner | 205a Sunset Dr, Slidell, LA 70460-6911 | 2017-10-17 |
| 1689105009 | Nerissa Christian | Nurse Practitioner | 206 Portsmouth Dr, Slidell, LA 70460-8433 | 2017-03-27 |
| 1851842843 | Shannon Regina Jackson | Nurse Practitioner | 294 Cypress Lakes Dr., Slidell, LA 70458 | 2016-10-14 |
| 1619337318 | Jamie Estes | Nurse Practitioner | 1835 Admiral Nelson Dr, Slidell, LA 70461-4512 | 2016-02-24 |
| Find all providers in SLIDELL | ||||
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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.