CCP ENTERPRISES, LLC (NPI# 1659667301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659667301 |
| Entity Type | Organization |
| Organization Name | CCP ENTERPRISES, LLC |
| Practice Address |
19111 Bellerive Ct Baton Rouge LA 70809-6736 |
| Mailing Address |
19111 Bellerive Court Baton Rouge LA 70809 |
| Practice Telephone | 2252810324 |
| Practice Fax Number | 2257557482 |
| Mailing Telephone | 2252810324 |
| Mailing Fax Number | 2257557482 |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2011-06-21 |
| Authorized Official Name | CHRISTY COOK-PERRY (NP) |
| Authorized Official Telephone | 2252810324 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP0441 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | CCP ENTERPRISES, LLC | 12 Nottingham Ln, Lancaster, Ny 14086 |
| Street Address |
19111 BELLERIVE CT |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-6736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659835346 | Cassandra Thomas-jingles Psychiatric Nurse Practitioner, LLC. | Nurse Practitioner | 156 Mcgehee Dr, Baton Rouge, LA 70815-5012 | 2019-01-26 |
| 1659733236 | Synergy Behavioral Health Services LLC | Nurse Practitioner | 355 Saint Charles St, Baton Rouge, LA 70802-5948 | 2016-03-23 |
| 1841617594 | Amy Lacouture | Nurse Practitioner | 16539 Centurion Ave, Baton Rouge, LA 70816-1924 | 2014-03-19 |
| 1104169382 | Legacy Behavioral Health | Nurse Practitioner | 7290 Siegen Lane, Baton Rouge, LA 70810 | 2013-04-05 |
| 1518278589 | Andrea Delaune Plauche | Nurse Practitioner | 2798 Oneal Ln, Ste. 8, Baton Rouge, LA 70816-3407 | 2010-06-24 |
| 1932317138 | Andre Stewart | Nurse Practitioner | 4040 North Blvd Ste A, Baton Rouge, LA 70806-3829 | 2007-05-19 |
| 1689662439 | Robert Allen Varnado | Nurse Practitioner | 5240 Stonewall Dr, Baton Rouge, LA 70817-2549 | 2005-10-06 |
| 1467445718 | Staci S. Gulino | Nurse Practitioner | 9311a Bluebonnet Blvd, Baton Rouge, LA 70810-2806 | 2005-08-23 |
| 1801495304 | Anita L Gilbert | Nurse Practitioner | 2798 Oneal Ln Ste 8, Baton Rouge, LA 70816-3408 | 2020-10-26 |
| 1710511241 | Crystal Caraccioli Hebert | Nurse Practitioner | 5131 Odonovan Dr Ste 300, Baton Rouge, LA 70808-4792 | 2020-02-24 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
Please comment or provide details below to improve the information on CCP ENTERPRISES, 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.