Healthcare Provider Details

I. General information

NPI: 1396254330
Provider Name (Legal Business Name): KATIE SCHLOEGEL FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2017
Last Update Date: 11/07/2022
Certification Date: 11/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16065 LAMONTE DR
HAMMOND LA
70403-1405
US

IV. Provider business mailing address

PO BOX 1089
HAMMOND LA
70404-1089
US

V. Phone/Fax

Practice location:
  • Phone: 985-892-7070
  • Fax:
Mailing address:
  • Phone:
  • Fax: 855-821-4499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP09339
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: