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CHARLISSA WHITTED LPN
NPI 1982294807
Licensed Practical Nurse in Lake Charles, LA

Active since January 25, 2021
2110 OAK PARK BLVD, LAKE CHARLES, LA 70601(337) 263-3792 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charlissa Whitted Lpn NPPES

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

CHARLISSA WHITTED LPN (NPI 1982294807) is an individual licensed practical nurse in Lake Charles, Louisiana, licensed in Louisiana (20120941) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1982294807
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameCHARLISSA WHITTEDCredential: LPN
Location Address2110 OAK PARK BLVDLake Charles, LA 70601-7864
Mailing Address7494 Columbia DrLake Charles, LA 70605-0286 · (337) 794-0113
Phone(337) 263-3792
Sole ProprietorNo
Enumeration DateJanuary 25, 2021
NPPES CertifiedJanuary 25, 2021
✔ NPI 1982294807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in LA · 20120941
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2110 OAK PARK BLVD, Lake Charles, LA 70601
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Other Names 1

Former Name (1)Charlissa Boyd Lpn

Other Providers at the Same Location NPPES 20

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

ROBIN DENISE FREEMAN
Specialist
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 475-0324
MRS. LEVINCE OLIVER PEEPLES LPN
Licensed Practical Nurse
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 475-0234
SANDRA LYNN MANELA
Case Manager/Care Coordinator
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 475-0324
AIESHA ROSS
Behavior Analyst
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 475-0324
MRS. JENNIE HARDIN
Licensed Practical Nurse
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 377-2579
RENEE S JORDAN MASTERS IN EDUCATION
Counselor (Addiction (Substance Use Disorder))
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 475-0324
TAMARA SHAIKH
Peer Specialist
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 475-0324
JOI REED
Counselor (Professional)
2110 OAK PARK BLVD
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 475-0324

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 Charlissa Whitted's NPI number?

The NPI number for Charlissa Whitted is 1982294807. It was assigned to this individual provider in the NPPES registry on January 25, 2021. The provider is also known as Charlissa Boyd Lpn.

Where is Charlissa Whitted located?

Charlissa Whitted practices at 2110 Oak Park Blvd, Lake Charles, LA 70601. The listed phone number is (337) 263-3792.

What is Charlissa Whitted's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Charlissa Whitted was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.