Active NPI
Womans Hospital Foundation
- Health Service Clinic/Center
- Baton Rouge, LA
National Provider Identifier
1013489533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- WOMANS HOSPITAL FOUNDATION
- Practice address
- 9637 Jefferson Hwy
Baton Rouge, LA 70809-2632 - Phone
- (225) 924-8300
- Fax
- (225) 927-6951
- NPI assigned
- Dec 21, 2018
- Organization subpart
- Yes
- Parent organization
- WOMANS HOSPITAL FOUNDATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teri G Fontenot
- Title
- Ceo & President
- Phone
- (225) 924-8104
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | |||
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
9637 Jefferson Hwy
Baton Rouge, LA 70809-2632
Mailing address
9637 Jefferson Hwy
Baton Rouge, LA 70809-2632
Phone (225) 924-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191015000277 | LA | MDPP Supplier - in-Person MDPP Supplier | 7113822206 | Practice locations: Baton Rouge, LA |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Alfred G Robichaux III
- Part of
- Alfred G Robichaux III
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
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-
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-
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-
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-
- Emergency Care Clinic/Center
- Baton Rouge, LA
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-
- Pharmacy
- Baton Rouge, LA
- NPI 1003365784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545350400000",
"number": "1013489533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9637 JEFFERSON HWY",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708092632",
"telephone_number": "225-924-8300",
"fax_number": "225-927-6951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9637 JEFFERSON HWY",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708092632",
"telephone_number": "225-924-8300",
"fax_number": "225-927-6951"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMANS HOSPITAL FOUNDATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WOMANS HOSPITAL FOUNDATION",
"enumeration_date": "2018-12-21",
"last_updated": "2018-12-21",
"status": "A",
"authorized_official_last_name": "FONTENOT",
"authorized_official_first_name": "TERI",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "CEO & PRESIDENT",
"authorized_official_telephone_number": "225-924-8104"
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.