Active NPI
Lucas Patin, ATC
- Athletic Trainer
- Baton Rouge, LA
National Provider Identifier
1093285942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 449 Ben Hur Rd.
Apt. 4311
Baton Rouge, LA 70820 - Phone
- (225) 240-2850
- NPI assigned
- Dec 3, 2018
- Last updated
- Jul 1, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
449 Ben Hur Rd.
Apt. 4311
Baton Rouge, LA 70820
Mailing address
303 N Carolina St
New Roads, LA 70760-3607
Phone (225) 240-2850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XHB724824416 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593561600000",
"number": "1093285942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 N CAROLINA ST",
"city": "NEW ROADS",
"state": "LA",
"postal_code": "707603607",
"telephone_number": "225-240-2850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "449 BEN HUR RD.",
"address_2": "APT. 4311",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "70820",
"telephone_number": "225-240-2850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATIN",
"first_name": "LUCAS",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-03",
"last_updated": "2020-07-01",
"certification_date": "2020-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XHB724824416",
"state": "LA"
}
],
"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 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.