SOUTHERN UNIVERSITY STUDENT HEALTH CENTER (NPI# 1124174545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124174545 |
| Entity Type | Organization |
| Organization Name | SOUTHERN UNIVERSITY STUDENT HEALTH CENTER |
| Practice Address |
170 Swan St Baton Rouge LA 70813-0001 |
| Mailing Address |
Po Box 11794 Baton Rouge LA 70813-1794 |
| Practice Telephone | 2257713324 |
| Practice Fax Number | 2257712349 |
| Mailing Telephone | 2257713324 |
| Mailing Fax Number | 2257712349 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2008-08-12 |
| Authorized Official Name | MRS. TERRICKA V FIELDS (OFFICE MANAGER) |
| Authorized Official Telephone | 2257714770 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1529338 | 05 | |
| LA | 1416886 | 05 |
| Street Address |
170 SWAN ST |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70813-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750582953 | Mary L Abadie | Nurse Practitioner | J K Haynes Bldg 170, 3rd Floor, Baton Rouge, LA 70813-0001 | 2007-05-29 |
| 1164623377 | Sandra C Brown | Nurse Practitioner | J K Haynes Bldg 170, 3rd Floor, Baton Rouge, LA 70813-0001 | 2007-05-29 |
| 1821554635 | Jolie Tang | Specialist/Technologist | 1 Swan St, Baton Rouge, LA 70813-2260 | 2019-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285577 | Frontpage Transportation | Non-emergency Medical Transport (VAN) | 9767 Yellowstone Ave, Baton Rouge, LA 70814-4346 | 2020-11-06 |
| 1215538012 | Alejandro Manuel Sierra | Technician | 9800 Airline Hwy Ste 121, Baton Rouge, LA 70816-8000 | 2020-11-06 |
| 1447851829 | Dana Deshun Thomas Burrell | Social Worker | 3025 Seracedar Dr, Baton Rouge, LA 70816-2071 | 2020-11-03 |
| 1538769187 | Patrick Morris | Social Worker | 1106 Maximillian St, Baton Rouge, LA 70802-6551 | 2020-10-31 |
| 1346840444 | Bradford J Williams | Counselor | 624 S 16th St, Baton Rouge, LA 70802-4011 | 2020-10-28 |
| 1639779788 | Harvey Lee Smith Jr. | Pharmacy | 1707 Gardere Ln Ste F, Baton Rouge, LA 70820-8144 | 2020-10-28 |
| 1992305023 | Deonna Hawkins Jackson | Case Manager/Care Coordinator | 17616 Heritage Estates Dr, Baton Rouge, LA 70810-6579 | 2020-10-28 |
| 1447850698 | Alyssa Mae Henderson | Behavior Technician | 4155 Essen Ln, Baton Rouge, LA 70809-2150 | 2020-10-27 |
| 1730789041 | Sonia L Allison | Non-emergency Medical Transport (VAN) | 5924 San Juan Dr, Baton Rouge, LA 70811-4127 | 2020-10-27 |
| 1477153773 | Br Acupuncture Wellness LLC | Acupuncturist | 2424 Oneal Ln Ste B, Baton Rouge, LA 70816-3406 | 2020-10-27 |
| Find all providers in BATON ROUGE | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285101626 | Joseph Carter | Nurse Practitioner | 15481 Airline Hwy, Baton Rouge, LA 70817-7314 | 2018-10-24 |
| 1407346984 | Baton Rouge General Medical Center | Nurse Practitioner | 8585 Picardy Ave Ste 412, Baton Rouge, LA 70809-3749 | 2018-05-10 |
| 1235630260 | Abby A Burke | Nurse Practitioner | 12072 S Tom Stokes Ct, Baton Rouge, LA 70810-3177 | 2018-02-25 |
| 1619484029 | Andrea Viator Murphy | Nurse Practitioner | 8415 Goodwood Blvd Ste 202b, Baton Rouge, LA 70806 | 2018-01-08 |
| 1225558059 | Christina Marino | Nurse Practitioner | 17141 Deer Meadow Ave, Baton Rouge, LA 70816-1701 | 2017-06-22 |
| 1871042713 | Zenovia Harris | Nurse Practitioner | 1138 Elvin Dr, Baton Rouge, LA 70810-8715 | 2016-10-03 |
| 1275087033 | Impact Network, LLC | Nurse Practitioner | 13636 Highland Rd, Baton Rouge, LA 70810-5013 | 2016-08-10 |
| 1295140812 | Altegra Health Connections, LLC | Nurse Practitioner | 5615 Corporate Blvd, Suite 400 B, Baton Rouge, LA 70808-2536 | 2014-06-23 |
| 1043633183 | Terrica Terrell Williams | Nurse Practitioner | 9118 Bluebonnet Centre Blvd Fl 2, Baton Rouge, LA 70809-2993 | 2014-01-24 |
| 1699010710 | Aimee Claire Braus | Nurse Practitioner | 3121 Nicholson Lake Dr, Baton Rouge, LA 70810-0354 | 2012-11-29 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70813 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.