LACEY CALLEGAN (NPI# 1215477260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215477260 |
| Entity Type | Individual |
| Full Name | LACEY CALLEGAN |
| Practice Address |
11055 Shoe Creek Dr Baton Rouge LA 70818-4022 |
| Mailing Address |
15234 Beauty Berry Ave Baton Rouge LA 70817-4627 |
| Practice Telephone | 2252614493 |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP09171 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11055 SHOE CREEK DR |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70818-4022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245329325 | Melissa R Barrett | Emergency Medicine | 11055 Shoe Creek Dr, Baton Rouge, LA 70818 | 2006-10-12 |
| 1306446414 | Kyle Michael Leblanc | Physician Assistant | 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 | 2020-10-28 |
| 1306457379 | Tram Tran Fruge | Nurse Practitioner | 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 | 2020-08-13 |
| 1558917815 | Elizabeth Blough | Physician Assistant | 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 | 2019-08-13 |
| 1598250870 | Crissy Devall | Nurse Practitioner | 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 | 2018-06-28 |
| 1437659547 | Crissy Carrier Sharpe | Nurse Practitioner | 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 | 2018-02-15 |
| 1326571639 | Megan Payne Loupe | Nurse Practitioner | 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 | 2017-04-05 |
| 1629509518 | Emilie Fiandt | Nurse Practitioner | 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 | 2017-03-23 |
| 1720497365 | Katie Chatelain | Nurse Practitioner | 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 | 2014-08-07 |
| 1174938211 | Mallory Bankston | Nurse Practitioner | 11055 Shoe Creek Dr, Baton Rouge, LA 70818-4022 | 2014-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508385576 | Stacia Clay | Driver | 8210 Brennen Drive, Baton Rouge, LA 70818 | 2017-09-11 |
| 1952650376 | Tara Rispone Delee | Social Worker | 12249 Hooper Road, Baton Rouge, LA 70818 | 2012-08-30 |
| 1417231705 | Cyril Floyd Broussard | Pharmacist | 14360 Wax Rd., Central, LA 70818 | 2011-10-05 |
| 1972887263 | Charles Erwin Seymour | Pharmacist | 14360 Wax Road, Central, LA 70818 | 2011-10-05 |
| 1306146089 | Central Chiropractic Center, Inc. | Preferred Provider Organization | 8755 Sullivan Road, Suite A, Central, LA 70818 | 2010-10-27 |
| 1649596321 | Fast Lane of Central LLC | Clinic/Center | 11421 Sullivan Rd, Bldg B, Baton Rouge, LA 70818 | 2010-04-20 |
| 1992837710 | James H Hebert | Dentist | 11424 Sullivan Road, Suite A, Baton Rouge, LA 70818 | 2007-03-09 |
| 1235295221 | Walter Jules Vaughan | Dentist | 13323 Hooper Rd., Baton Rouge, LA 70818 | 2006-12-28 |
| 1740208867 | Michael Romaguera | Family Medicine | 11055 Shoe Creek Drive, Baton Rouge, LA 70818 | 2006-07-17 |
| 1841238763 | Helen M Balzli | Physical Therapist | 13111 Hooper Rd, Baton Rouge, LA 70818 | 2006-06-03 |
| Find all providers in zip 70818 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684923 | On -demand Healthcare of Louisiana LLC | Nurse Practitioner | 12109 Hampton Village Ave, Baton Rouge, LA 70818-5741 | 2020-09-22 |
| 1972116424 | Kiona Brooke Hayes | Nurse Practitioner | 1224 Meridian Dr, Baton Rouge, LA 70820-5316 | 2020-08-25 |
| 1932727286 | Alise Williams | Nurse Practitioner | 3333 Drusilla Ln Ste A, Baton Rouge, LA 70809-2418 | 2020-07-13 |
| 1881211803 | Shelita Banks | Nurse Practitioner | 11622 Flamingo Dr, Baton Rouge, LA 70814-7141 | 2020-06-26 |
| 1558985457 | Erika Halphen Forbes | Nurse Practitioner | 8281 Goodwood Blvd Ste D1, Baton Rouge, LA 70806-7742 | 2020-06-05 |
| 1326676792 | Divinity Healthcare Clinic | Nurse Practitioner | 4021 We Heck Ct Ste B1, Baton Rouge, LA 70816-0405 | 2020-03-31 |
| 1477188738 | Kenisha Hampton Manuel | Nurse Practitioner | 4550 North Blvd Ste 100, Baton Rouge, LA 70806-4013 | 2020-03-06 |
| 1073157418 | Lakeva Marie Percy | Nurse Practitioner | 1522 Fig St, Baton Rouge, LA 70802-5028 | 2019-10-29 |
| 1144875162 | The Care Clinic LLC | Nurse Practitioner | 4336 North Blvd Ste 101, Baton Rouge, LA 70806-3920 | 2019-08-06 |
| 1467004127 | Eddricka Fleming Franklin | Nurse Practitioner | 5884 Benson Dr, Baton Rouge, LA 70812-2605 | 2019-07-12 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70818 |
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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.