Active NPI
Neurocept, LLC
- Clinical Neurophysiology Physician
- Baton Rouge, LA
National Provider Identifier
1053760934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- Legal business name
- NEUROCEPT, LLC
- Practice address
- 10101 Park Rowe Ave
Baton Rouge, LA 70810 - Phone
- (210) 598-4277
- NPI assigned
- Jun 10, 2016
- Last updated
- Jul 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Roxanna Laroque
- Title
- Director of Client Experience
- Phone
- (210) 598-4277
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | NU | ||
| Clinical Neurophysiology Physician | 2084N0600X | NU | Primary | |
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | NU | ||
| Electrodiagnostic Medicine Physician | 204R00000X | NU |
Addresses
Primary practice location
10101 Park Rowe Ave
Baton Rouge, LA 70810
Mailing address
1141 N Loop 1604 E #105-612
San Antonio, TX 78232
Phone (210) 598-4277
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658188800000",
"number": "1053760934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 N LOOP 1604 E #105-612",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78232",
"telephone_number": "210-598-4277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10101 PARK ROWE AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70810",
"telephone_number": "210-598-4277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROCEPT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-10",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A",
"authorized_official_last_name": "LAROQUE",
"authorized_official_first_name": "ROXANNA",
"authorized_official_title_or_position": "DIRECTOR OF CLIENT EXPERIENCE",
"authorized_official_telephone_number": "210-598-4277"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "204R00000X",
"taxonomy_group": "",
"desc": "Electrodiagnostic Medicine",
"state": "NU",
"license": null,
"primary": false
}
],
"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 Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.