Lauren Marcello Mickenheim, MSN, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP06748 Issued in LA

Practice address

7777 Hennessy Blvd
Suite 709
Baton Rouge, LA 70808-4300

Phone

(225) 765-7735

Fax

(225) 765-1023

NPI assigned

Jun 14, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lauren Marcello Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

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.

• Ef Research, LLC

  dba Well Plus Connect

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1184976490
  NPD (past)
• Ef Research, LLC

  • Specialist
  • Baton Rouge, LA
  • NPI 1285642983
  NPD (past)
• Our Lake of the Lake Head and Neck Ce

  • Specialist
  • Baton Rouge, LA
  • NPI 1619919271
  NPD (past)

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1154683282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "SUITE 709",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-765-7735",
            "fax_number": "225-765-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "SUITE 709",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-765-7735",
            "fax_number": "225-765-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKENHEIM",
        "first_name": "LAUREN",
        "middle_name": "MARCELLO",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN117293",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "MARCELLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle L. Wall LLC (ABC Case Management)
• Jennifer H Michelli, PHARM D
• Heidi Huckabee Michiels, M.A., L-SLP, CCC-SLP
• Kylie Michot, PHARMD
• Amanda Lynne Mickavicz Sickora
• David Fichter Mickey, MD
• Vanessa Lynette Mickles, PHARMD
• Mid City Specialty Center, LLC
• Mid-City Pharmacy
• Mid-City Primary Care Center

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.