LAITRAM HEALTH AND WELLNESS CENTER @ HAMMOND
NPI 1740994045
Nurse Practitioner in Hammond, LA

NPI Status: Active since January 11, 2023

Contact Information

20157 INTRALOX DR FL 2
HAMMOND, LA
ZIP 70401
Phone: (985) 236-1884

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  • Organization
  • Nurse Practitioner
  • CLIA Number: 19D2278004
  • CLIA Cert. Type: Other - ONSITE HEALTH CENTER
  • CLIA Exp. Date: 03-08-2027

About LAITRAM HEALTH AND WELLNESS CENTER @ HAMMOND

This page provides the complete NPI Profile along with additional information for Laitram Health And Wellness Center @ Hammond, a provider established in Hammond, Louisiana operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1740994045 assigned on January 2023. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Laitram Health And Wellness Center @ Hammond. The authorized official of this NPI record is Jeff Wells Md (Ceo)

NPI
1740994045
Provider Legal Name
MARATHON HEALTH, LLC
Other Organization Name
LAITRAM HEALTH AND WELLNESS CENTER @ HAMMOND
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
20157 INTRALOX DR FL 2 HAMMOND, LA 70401
Location Phone
(985) 236-1884
Mailing Address
10 W MARKET ST STE 2900 INDIANAPOLIS, IN 46204
Mailing Phone
(802) 857-0400
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
01-11-2023
Last Update Date
01-19-2024
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A nurse practitioner (NP) like Laitram Health And Wellness Center @ Hammond is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEFF WELLS MD

Authorized Official Title
CEO
Authorized Official Phone
(802) 857-0400

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
19D2278004
Facility Type
Other - ONSITE HEALTH CENTER
Certificate Effective Date
March 09, 2025
Certificate Expiration Date
March 08, 2027
Laboratory Director
ALLISON HOFFRITZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Laitram Health And Wellness Center @ Hammond to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1740994045
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2780189808
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 8 + 0 + 1 + 8 + 9 + 8 + 0 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1740994045 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740994045, enumerated in the NPI registry as an "organization" on January 11, 2023

The provider is located at 20157 Intralox Dr Fl 2 Hammond, La 70401 and the phone number is (985) 236-1884

This medical organization specializes in Nurse Practitioner with taxonomy code 363L00000X

The provider's CLIA number is 19D2278004 for a "other - onsite health center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 11, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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