Everlife Family and Functional Medicine Clinic LLC
NPI 1295608461ActiveOrganization· Nurse Practitioner, Family· Slidell, LA
Nurse Practitioner, Family in Slidell, Louisiana, registered in NPPES in September 2025. The authorized official on file is Stephanie Wallace, FNP-BC, FNP-C, Fnp/Owner.
Overview
| NPI | 1295608461 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 24, 2025 |
| Last updated in NPPES | Oct 29, 2025 |
| Certified by provider | Oct 29, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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