FAMILY WELLNESS PRACTICE LLC
NPI 1720734841
Nurse Practitioner - Primary Care in Deridder, LA

Active since February 28, 2022
411 S PINE ST, DERIDDER, LA 70634(337) 462-6070 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 31, 2022, Apr 4, 2022, Feb 28, 2022 (3 updates tracked since 2022).

About Family Wellness Practice Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY WELLNESS PRACTICE LLC (NPI 1720734841) is a healthcare organization registered as a primary care in Deridder, Louisiana and active in the NPI registry since February 2022. The organization lists Brenda Mahaffey, Owner, as its authorized official.

NPPES Registry Identity

NPI1720734841
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameFAMILY WELLNESS PRACTICE LLC
Location Address411 S PINE STDeridder, LA 70634-4839
Mailing Address411 S Pine StDeridder, LA 70634-4839 · (337) 221-2990
Organization SubpartNo
Authorized OfficialBrenda MahaffeyOwner · (337) 221-2990
Enumeration DateFebruary 28, 2022
Last NPPES UpdateAugust 31, 20223 updates tracked since enumeration
NPPES CertifiedAugust 31, 2022
NPI 1720734841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
411 S PINE ST, Deridder, LA 70634

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
411 S PINE ST
DERIDDER, LA 70634
Nurse Practitioner (Primary Care)
411 S PINE ST
DERIDDER, LA 70634

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Wellness Practice LLC's NPI number?

The NPI number for Family Wellness Practice LLC is 1720734841. It was assigned to this organization in the NPPES registry on February 28, 2022.

Where is Family Wellness Practice LLC located?

Family Wellness Practice LLC is located at 411 S Pine St, Deridder, LA 70634. The listed phone number is (337) 462-6070.

What is Family Wellness Practice LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

What insurance does Family Wellness Practice LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana list Family Wellness Practice LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Family Wellness Practice LLC was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.