ALICIA RUTHERFORD RESTIVO (NPI# 1356318620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356318620 |
| Entity Type | Individual |
| Full Name | ALICIA RUTHERFORD RESTIVO |
| Credential | NP |
| Practice Address |
Infirmary Rd Baton Rouge LA 70803-0001 |
| Mailing Address |
24986 Arlington Ave Denham Springs LA 70726-6602 |
| Practice Telephone | 2255785693 |
| Mailing Telephone | 2256679657 |
| Enumeration Date | 2006-03-04 |
| Last Update Date | 2020-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN096234 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP04303 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1465861 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11990 Jackson St, Clinton, LA 707223210 | 2256835292 | 2256831310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154775856 | Alicia Restivo | Licensed Vocational Nurse | 17695 Industrial Farm Rd, Bakersfield, CA 93308-9520 | 2016-04-19 |
| Street Address |
INFIRMARY RD |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70803-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922000553 | Leslie Sullivan Elkins | Family Medicine | Infirmary Rd, Baton Rouge, LA 70803-0001 | 2005-08-12 |
| 1255992368 | Janell Soileau | Nurse Practitioner | Infirmary Rd, Baton Rouge, LA 70803-0001 | 2019-06-28 |
| 1104262617 | Chad Frederickson | Physical Medicine & Rehabilitation | Infirmary Rd, Baton Rouge, LA 70803-2401 | 2013-05-13 |
| 1619168846 | Katy Wiltz | Dermatology | Infirmary Rd, Baton Rouge, LA 70803-0001 | 2007-08-05 |
| 1720201908 | Louisiana State University and A & M College Student Health Center | Clinic/Center | Infirmary Rd, Lsu Campus, Baton Rouge, LA 70803-2401 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649822164 | Joshua Vaughn Bunch | Specialist/Technologist | Lsu Athletic Department, Athletic Training, North Stadium Drive, Baton Rouge, LA 70803 | 2019-07-15 |
| 1225512767 | Louisiana State University | Pharmacy | 1 North Stadium Drive, Broussard Center for Athletic Training, Baton Rouge, LA 70803 | 2018-09-20 |
| 1447652433 | Joshua Pratt | Specialist/Technologist | Lsu Athletic Training, Athletic Administration Building, Baton Rouge, LA 70803 | 2014-09-22 |
| 1851709216 | Derek Calvert | Specialist/Technologist | Lsu Athletic Administration Building, Athletic Training Room, Baton Rouge, LA 70803 | 2014-07-30 |
| 1770924599 | Malena Badon | Clinical Medical Laboratory | 340 East Parker Street, Baton Rouge, LA 70803 | 2013-07-09 |
| 1649394057 | Cheryl Larrieu Bourg | Pharmacist | Lsu Student Health Center Pharmacy, Infirmary Road, Lsu, Baton Rouge, LA 70803 | 2007-03-19 |
| 1548369465 | Louisiana State Univ Students Health Ctr | Pharmacist | Infirmary Road, Room 172 Pharmacy, Baton Rouge, LA 70803 | 2006-09-21 |
| 1912937145 | Louisiana Emergency & Trauma Specialists | Emergency Medicine | 3600 Florida Blvd, Baton Rouge, LA 70803 | 2006-07-04 |
| 1295373025 | Jacqueline Casey Crouch | Student in an Organized Health Care Education/Training Program | North Stadium Drive Athletics Administration Building, Baton Rouge, LA 70803-0001 | 2019-12-11 |
| 1013552512 | Kelly Stephens | Specialist/Technologist | 1 North Stadium Dr, Baton Rouge, LA 70803-0001 | 2019-11-08 |
| Find all providers in zip 70803 | ||||
| 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 | 70803 |
Please comment or provide details below to improve the information on ALICIA RUTHERFORD RESTIVO.
| 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.