Active NPI
Christina Marie Cannizzaro, M.D.
- Pediatrics Physician
- Baton Rouge, LA
National Provider Identifier
1124115183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD.202848
- Practice address
- 8415 Goodwood Blvd
Suite 104
Baton Rouge, LA 70806-7851 - Phone
- (225) 925-9797
- Fax
- (225) 925-9787
- NPI assigned
- Oct 9, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD.202848 | LA | Primary |
Addresses
Primary practice location
8415 Goodwood Blvd
Suite 104
Baton Rouge, LA 70806-7851
Mailing address
8415 Goodwood Blvd
Suite 104
Baton Rouge, LA 70806-7851
Phone (225) 925-9797
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1885142 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Pediatrics | Current | Accepting new patients |
| Ochsner Clinic Foundation | Past | Accepting new patients |
Locations
1514 Jefferson Hwy
New Orleans, LA 70121
2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650
Interoperability endpoints
- chorsman1223204@direct.ochsner.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- Pediatrics Physician
- Destrehan, LA
- NPI 1356540108
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432080000000",
"number": "1124115183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8415 GOODWOOD BLVD",
"address_2": "SUITE 104",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708067851",
"telephone_number": "225-925-9797",
"fax_number": "225-925-9787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8415 GOODWOOD BLVD",
"address_2": "SUITE 104",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708067851",
"telephone_number": "225-925-9797",
"fax_number": "225-925-9787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNIZZARO",
"first_name": "CHRISTINA",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-09",
"last_updated": "2015-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "MD.202848",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1885142",
"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 May 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.