Southern University Student Health Center

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SOUTHERN UNIVERSITY STUDENT HEALTH CENTER

Practice address

170 Swan St
Baton Rouge, LA 70813-0001

Phone

(225) 771-3324

Fax

(225) 771-2349

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Terricka V Fields

Title

Office Manager

Phone

(225) 771-4770

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra C Brown

  • Family Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1164623377
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1124174545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11794",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708131794",
            "telephone_number": "225-771-3324",
            "fax_number": "225-771-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 SWAN ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708130001",
            "telephone_number": "225-771-3324",
            "fax_number": "225-771-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN UNIVERSITY STUDENT HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "TERRICKA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "225-771-4770",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1416886",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1529338",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southern Regional Medical Center
• Southern Regional Wound Care Consultants, LLC
• Southern Select Housing LLC
• Southern Select Housing LLC
• Southern Select Massage Therapy LLC
• Southwest Mississippi Anesthesia
• Aleksandra Sowder, M.D.
• Justin Cole Sowder, MD
• Caroline Lieux Sowell, MD
• Ambriel Spain-Byrd, M.ED., BCBA, LBA

• Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.