WOMANS OUTPATIENT CLINIC PROVIDERS (NPI# 1073005435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073005435 |
| Entity Type | Organization |
| Organization Name | WOMANS OUTPATIENT CLINIC PROVIDERS |
| Other Organization Name | WOMANS OUTPATIENT CLINIC PROVIDERS |
| Practice Address |
500 Rue De La Vie St Ste 407 Baton Rouge LA 70817-5128 |
| Mailing Address |
100 Womans Way Baton Rouge LA 70817-5100 |
| Practice Telephone | 2252157960 |
| Practice Fax Number | 2259223381 |
| Mailing Telephone | 2252157960 |
| Mailing Fax Number | 2259223381 |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2018-06-01 |
| Authorized Official Name | MS. TERI FONTENOT (CEO) |
| Authorized Official Telephone | 2259271300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP09920 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Womans Outpatient Clinic Providers | Doing Business As Name - Organization |
| Street Address |
500 RUE DE LA VIE ST STE 407 |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70817-5128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346481314 | Christy Hartmann Cycotte | Obstetrics & Gynecology | 500 Rue De La Vie St Ste 407, Baton Rouge, LA 70817-5128 | 2009-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518503754 | Optimus Primary Care, LLC | Clinic/Center | 13828 Coursey Boulevard, Address Line 2, Baton Rouge, LA 70817 | 2019-11-22 |
| 1457821043 | Traci Bellazin | Case Manager/Care Coordinator | 9334 Falling Oak Dr., Baton Rouge, LA 70817 | 2018-11-27 |
| 1124502869 | Jacob Schrieffer | Nurse Practitioner | 15389 Airline Highway, Baton Rouge, LA 70817 | 2018-09-19 |
| 1629564638 | Baton Rouge Dental Associates, LLC | Dentist | 14948 Market St, Baton Rouge, LA 70817 | 2018-07-03 |
| 1740786946 | Charlotte L Watts | Nurse Practitioner | 15389 Airline Hwy, Baton Rouge, LA 70817 | 2018-04-05 |
| 1164957536 | Deranecha Francois | Counselor | 17232 Jefferson Hwy, Apt 121, Baton Rouge, LA 70817 | 2017-04-24 |
| 1992251573 | Jacob Dent, Dds. Baton Rouge Modern Dentistry, A Professional Corp | Dentist | 14640 Village Market St, Suite 103, Baton Rouge, LA 70817 | 2016-09-01 |
| 1235522962 | Cardinal Community Services LLC | Clinic/Center | 13702 Coursey Blvd. Bldg 6 Ste A 2, Baton Rouge, LA 70817 | 2015-03-05 |
| 1962832204 | Bcbr Facility Services, LLC | Clinic/Center | 277 Rue De La Vie, Baton Rouge, LA 70817 | 2013-11-23 |
| 1700225737 | Renee Denise Beyer Boudreaux | Nurse Practitioner | 500 Rue De La Vie, Suite 401, Baton Rouge, LA 70817 | 2013-06-24 |
| Find all providers in zip 70817 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396233078 | Megan C Riley | Nurse Practitioner | 100 Womans Way Ste 407, Baton Rouge, LA 70817-5100 | 2018-04-27 |
| 1932621190 | Laketra Whitney | Nurse Practitioner | 8595 Picardy Ave, Baton Rouge, LA 70809-3670 | 2017-07-10 |
| 1699206441 | Richshell Marie Smith | Nurse Practitioner | 3825 Government St, Baton Rouge, LA 70806-5725 | 2017-03-23 |
| 1811448038 | Ungelica Rose Moses | Nurse Practitioner | 500 Rue De La Vie St, Suite 310, Baton Rouge, LA 70817-5127 | 2016-10-24 |
| 1770842924 | Erin Michel | Nurse Practitioner | 8595 Picardy Ave, Suite 320, Baton Rouge, LA 70809-3670 | 2012-05-09 |
| 1619255171 | Donna G Hebert | Nurse Practitioner | 500 Rue De La Vie, Suite 413, Baton Rouge, LA 70817-5128 | 2011-08-01 |
| 1881989572 | Jamie M Roques | Nurse Practitioner | 3801 North Blvd, Baton Rouge, LA 70806-3825 | 2011-06-10 |
| 1508093402 | Crystal Paige Traylor | Nurse Practitioner | 6400 Perkins Rd, Baton Rouge, LA 70808-4124 | 2009-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093349078 | Alysha Hinson | Nurse Practitioner | 1455 E Bert Kouns Industrial Loop Ste 306, Shreveport, LA 71105-5634 | 2020-02-27 |
| 1316591126 | Heather Jaet Simon | Nurse Practitioner | 113 Brewster Rd, Madisonville, LA 70447-9579 | 2019-07-30 |
| 1356759153 | Mary Tillman Acosta | Nurse Practitioner | 8001 Youree Dr Ste 320, Shreveport, LA 71115-2354 | 2014-07-24 |
| 1710226204 | Tara Rae Thompson | Nurse Practitioner | 5604 Coliseum Blvd Ste B, Alexandria, LA 71303-3993 | 2013-02-04 |
| 1942585591 | Iph, Slidel LLC | Nurse Practitioner | 2364 Gause Blvd E Ste 101, Slidell, LA 70461-4141 | 2011-10-14 |
| 1265725402 | Katherine Maranto Salley | Nurse Practitioner | 827 Margaret Pl, Suite 201, Shreveport, LA 71101-4523 | 2011-05-20 |
| 1225361827 | Paulette Guidry Landry | Nurse Practitioner | U L Lafayette Student Health, 120 Boucher Dr., Lafayette, LA 70504-0001 | 2009-09-14 |
| 1467695700 | Heather M Lenox | Nurse Practitioner | 4540 Amb Caffery Pkwy, Ste C 220, Lafayette, LA 70508-6928 | 2009-04-16 |
| 1447413828 | Monica Valenti Smith | Nurse Practitioner | 806-b Riverside Drive, Franklinton, LA 70438-3688 | 2008-07-07 |
| 1578720785 | Tamla T Pierre | Nurse Practitioner | 6010 S Muirfield Cir, New Orleans, LA 70128-3655 | 2008-05-16 |
| Find all providers with the same taxonomy | ||||
| City | BATON ROUGE |
| Zip Code | 70817 |
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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.