NPIMap

Organization Active NPI

Rosebud Healthcare and Training

  • Family Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1104569524
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROSEBUD HEALTHCARE AND TRAINING
Practice address
3024 Westfork Dr Ste B
Baton Rouge, LA 70816-2252
Phone
(225) 256-2918
Fax
(225) 380-2171
NPI assigned
Apr 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vikki Spurlock LeeNPI 1871021139
Title
Managing Member
Phone
(225) 229-3254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3024 Westfork Dr Ste B
Baton Rouge, LA 70816-2252

Mailing address

3024 Westfork Dr Ste B
Baton Rouge, LA 70816-2252
Phone (225) 256-2918

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1104569524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 WESTFORK DR STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162252",
            "telephone_number": "225-256-2918",
            "fax_number": "225-380-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3024 WESTFORK DR STE B",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708162252",
            "telephone_number": "225-256-2918",
            "fax_number": "225-380-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBUD HEALTHCARE AND TRAINING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "VIKKI",
        "authorized_official_middle_name": "SPURLOCK",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "225-229-3254"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "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 Apr 14, 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.

Verify at the official NPI Registry.