ACCEPTANCE PHYSICAL MEDICINE & REHABILITATION CLINIC, LLC (NPI# 1578517066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578517066 |
| Entity Type | Organization |
| Organization Name | ACCEPTANCE PHYSICAL MEDICINE & REHABILITATION CLINIC, LLC |
| Other Organization Name | SHARITA ACKLIN |
| Practice Address |
2156 Wooddale Blvd Suite 140 Baton Rouge LA 70806-1403 |
| Practice Telephone | 2259285358 |
| Practice Fax Number | 2259285363 |
| Mailing Telephone | 2259285358 |
| Mailing Fax Number | 2259285363 |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. SHARITA DAVIS ACKLIN (ADMINISTRATOR) |
| Authorized Official Telephone | 2259285358 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170100000X | Medical Genetics, Ph.D. Medical Genetics | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Sharita Acklin | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730241829 | Acceptance Physical Medicine & Rehabilitation Clinic, LLC | Specialist | 2156 Wooddale Blvd, Suite 140, Baton Rouge, LA 70806-1403 | 2006-12-14 |
| Street Address |
2156 WOODDALE BLVD SUITE 140 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70806-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629617220 | Michelle Yvonne Davis | Case Manager/Care Coordinator | 2156 Wooddale Blvd, Baton Rouge, LA 70806-1403 | 2019-12-30 |
| 1124667712 | Gabrielle Roberson | Case Manager/Care Coordinator | 2156 Wooddale Blvd, Baton Rouge, LA 70806-1403 | 2019-12-30 |
| 1821641309 | Dejoneria Jackson | Case Manager/Care Coordinator | 2156 Wooddale Blvd, Baton Rouge, LA 70806-1403 | 2019-07-23 |
| 1306499033 | Nathandria Breedlove Bradley | Case Manager/Care Coordinator | 2156 Wooddale Blvd, Baton Rouge, LA 70806-1403 | 2019-07-22 |
| 1922506070 | Levida London | Social Worker | 2156 Wooddale Blvd, Baton Rouge, LA 70806-1403 | 2018-01-24 |
| 1720519119 | Ann Agbiak | Counselor | 2156 Wooddale Blvd, 100, Baton Rouge, LA 70806-1403 | 2017-03-27 |
| 1740728872 | Corondelette Robertson | Counselor | 2156 Wooddale Blvd, Ste. 100, Baton Rouge, LA 70806-1403 | 2017-02-09 |
| 1366980872 | Mechelle Keys | Counselor | 2156 Wooddale Blvd, Ste. 100, Baton Rouge, LA 70806-1403 | 2017-02-03 |
| 1790236586 | Holistic Behavioral Health Services of Louisiana | Case Management | 2156 Wooddale Blvd, Suite 750, Baton Rouge, LA 70806-1403 | 2016-10-17 |
| 1295288777 | Kellee M Matthews | Counselor | 2156 Wooddale Blvd, Baton Rouge, LA 70806-1403 | 2016-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064790 | Horizon Network LLC | Community/Behavioral Health | 921 Lobdell Blvd Suite D, Baton Rouge, LA 70806 | 2020-08-18 |
| 1093324220 | Raghu Rudraraju | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard Baton Rouge General Mid City Medi, Suite 130, Baton Rouge, LA 70806 | 2020-07-23 |
| 1619595584 | Brown's Pharmacy, LLC | Pharmacy | 1718 North Foster Drive, Suite B, Baton Rouge, LA 70806 | 2020-07-08 |
| 1497374847 | Yara Mouawad | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Suite 130, Baton Rouge, LA 70806 | 2020-04-15 |
| 1396364527 | Sai Samyuktha Bandaru | Student in an Organized Health Care Education/Training Program | Brg Mid City Medicine Clinic, 3401 North Boulevard, Sui, Baton Rouge, LA 70806 | 2020-04-08 |
| 1588299812 | Iraneeka S Gustave | Peer Specialist | Kelwood Ave, 8326 Kelwood Ave, Baton Rouge, LA 70806 | 2020-03-06 |
| 1518522192 | Silpita Katragadda | Student in an Organized Health Care Education/Training Program | 3401 North Boulevard, Brg Midcity Medicine Clinic, Suite 130, Baton Rouge, LA 70806 | 2019-05-08 |
| 1437713997 | Dental Solutions, LLC | Dentist | 5629 Government St, Baton Rouge, LA 70806 | 2019-04-30 |
| 1699249516 | Shea Lafountain | Counselor | 624 Connell's Park Lane, Baton Rouge, LA 70806 | 2019-01-14 |
| 1033682802 | Genesis Specialty Groups, LLC | Clinic/Center | 778 Chevelle Drive, Baton Rouge, LA 70806 | 2019-01-04 |
| Find all providers in zip 70806 | ||||
| Taxonomy Code | 170100000X |
| Grouping | Other Service Providers |
| Classification | Medical Genetics, Ph.D. Medical Genetics |
| A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists. |
| Notes: A general certificate was first issued by ABMS in 1982. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992072953 | Acceptance Kidmed of La LLC | Medical Genetics, Ph.D. Medical Genetics | 947 N Bon Marche Dr, 107, Baton Rouge, LA 70806-8833 | 2011-11-18 |
| 1417289711 | Acceptance Community Care Clinic, LLC | Medical Genetics, Ph.D. Medical Genetics | 15142 Mary Elizabeth Dr, Baton Rouge, LA 70816-9043 | 2010-02-11 |
| 1982981320 | Accent Urgent Care Clinic LLC | Medical Genetics, Ph.D. Medical Genetics | 1821 Wooddale Ct, Suite 203, Baton Rouge, LA 70806-1535 | 2011-11-14 |
| 1245463710 | Acceptance Kidmed of Louisiana LLC | Medical Genetics, Ph.D. Medical Genetics | 2708 Wooddale Blvd, Suite A2, Baton Rouge, LA 70805-7541 | 2009-08-31 |
| 1962644641 | Acceptance Physical Medicine & Rehab Clinic, LLC | Medical Genetics, Ph.D. Medical Genetics | 2708 Wooddale Blvd, Suite A2, Baton Rouge, LA 70805-7541 | 2009-03-27 |
| 1538306154 | Baton Rouge Walk In Clinic, LLC | Medical Genetics, Ph.D. Medical Genetics | 4000 Gus Young Ave, Suite 104, Baton Rouge, LA 70802-1700 | 2009-01-20 |
| 1700069747 | B R Family Health Clinic, LLC | Medical Genetics, Ph.D. Medical Genetics | 2156 Wooddale Blvd, 140, Baton Rouge, LA 70806-1403 | 2007-12-13 |
| 1659552552 | Acceptance Kidmed of La, LLC | Medical Genetics, Ph.D. Medical Genetics | 2156 Wooddale Blvd, Suite 140, Baton Rouge, LA 70806-1403 | 2007-11-19 |
| 1750428223 | Genetic Services of Louisiana | Medical Genetics, Ph.D. Medical Genetics | 9050 Airline Hwy, Baton Rouge, LA 70815-4103 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669633541 | Evangeline Rachel Hall Franklin | Medical Genetics, Ph.D. Medical Genetics | 5640 Read Blvd Ste 540, New Orleans, LA 70127-7811 | 2008-06-23 |
| 1851420756 | Faith S. Rickert | Medical Genetics, Ph.D. Medical Genetics | 1705 Viola St., Mandeville, LA 70448 | 2007-03-05 |
| 1003978545 | Amite Physical Therapy | Medical Genetics, Ph.D. Medical Genetics | 216 N 2nd St, Amite, LA 70422-2408 | 2006-12-14 |
| 1295714624 | Johnetta Renee Hall | Medical Genetics, Ph.D. Medical Genetics | 915 Ann St, New Iberia, LA 70560-5676 | 2006-01-13 |
| 1013387620 | Mary Catherine Phelan Iv | Medical Genetics, Ph.D. Medical Genetics | 1430 Tulane Ave, Sl31, New Orleans, LA 70112-2632 | 2015-09-25 |
| 1396906277 | New Orleans East Family Health Care Center | Medical Genetics, Ph.D. Medical Genetics | 5640 Read Blvd Ste 540, New Orleans, LA 70127-7811 | 2008-06-23 |
| City | BATON ROUGE |
| Zip Code | 70806 |
Please comment or provide details below to improve the information on ACCEPTANCE PHYSICAL MEDICINE & REHABILITATION CLINIC, LLC.
| 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.