MISSION MEDICAL GROUP OF LOUISIANA LLC (NPI# 1811289390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811289390 |
Entity Type | Organization |
Organization Name | MISSION MEDICAL GROUP OF LOUISIANA LLC |
Other Organization Name | MATRIX MEDICAL NETWORK |
Practice Address |
2900 Westfork Dr Ste 401 Baton Rouge LA 70827-0004 |
Mailing Address |
9201 E Mountain View Rd Suite 220 Scottsdale AZ 85258-5172 |
Practice Telephone | 4808621677 |
Practice Fax Number | 4807187643 |
Mailing Telephone | 4808621700 |
Mailing Fax Number | 4809071537 |
Enumeration Date | 2011-05-03 |
Last Update Date | 2019-12-11 |
Authorized Official Name | VICTORIA ALVAREZ (DIRECTOR, CREDENTIALING) |
Authorized Official Telephone | 4808621695 |
Is Organization Subpart | Y |
Parent Organization Name | COMMUNITY CARE HEALTH NETWORK INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
Matrix Medical Network | Doing Business As Name - Organization |
Street Address |
2900 WESTFORK DR STE 401 |
City | BATON ROUGE |
State | LA |
Zip Code | 70827-0004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912511007 | Shameka Mitchell | Social Worker | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2020-09-04 |
1275142325 | Thomas G Greer | Nurse Practitioner | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2020-07-24 |
1770101883 | Pure Mind Counseling & Wellness | Community/Behavioral Health | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2020-07-07 |
1912533613 | D&t Med La, LLC | Non-emergency Medical Transport (VAN) | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2020-03-13 |
1447882162 | Kristen M. Hill | Nurse Practitioner | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2020-02-11 |
1487299715 | National Youth Advocate Program, Inc | Foster Care Agency | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2019-11-11 |
1851942841 | Mattie & Associates | Internal Medicine | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2019-09-22 |
1710403852 | The Chrysalis Center, LLC | Clinic/Center | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827 | 2017-08-21 |
1366998015 | Myisha Joseph | Counselor | 2900 Westfork Dr Ste 401, Baton Rouge, LA 70827-0004 | 2016-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003350489 | Central Ophthalmic & Medical Billing Services LLC | Technician/Technologist | 2900 West Fork Dr, Suite 401, Baton Rouge, LA 70827 | 2016-12-05 |
1972602662 | Monitetra M King | Social Worker | 2900 W Fork Dr, Suite 200, Baton Rouge, LA 70827 | 2006-09-21 |
1336138304 | Glenn N Jones | Psychologist | 2900 Westfork Dr, Suite 200, Baton Rouge, LA 70827-0004 | 2005-10-20 |
1538399704 | Louisiana Phs LLC | Family Medicine | 2900 Westfork Dr, Suite 401, Baton Rouge, LA 70827-0004 | 2009-07-21 |
1023654134 | A and T Aziz Enterprises, LLC | Meals | 2900 Westfork Dr, Baton Rouge, LA 70827-0010 | 2019-11-24 |
1487201562 | Wilbert Dangerfield | Non-emergency Medical Transport (VAN) | 2900 Westfork Dr, Baton Rouge, LA 70827-0010 | 2019-08-22 |
1831565589 | Karen Jones | Nurse Practitioner | 2900 Westfork Dr, Baton Rouge, LA 70827-0010 | 2015-08-18 |
1710360615 | Brittney Howell | Nurse Practitioner | 2900 Westfork Dr, Ste 401, Baton Rouge, LA 70827-0010 | 2015-07-09 |
1164801965 | Kristin Kennedy | Nurse Practitioner | 2900 Westfork Dr, Ste 401, Baton Rouge, LA 70827-0010 | 2015-05-26 |
1295088326 | Tri Parish Medical Services Inc | Private Vehicle | 2900 Westfork Dr, Baton Rouge, LA 70827-0010 | 2012-10-26 |
Find all providers in zip 70827 |
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 | 70827 |
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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.