Individual provider Active NPI

Lavonna Parham, NNP

  • Critical Care Neonatal Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1194346916
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
212646 Issued in LA
Practice address
500 Rue de la Vie St Ste 405
Baton Rouge, LA 70817-5128
Phone
(225) 928-2555
Fax
(225) 929-9685
NPI assigned
May 4, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 212646 LA
Critical Care Neonatal Nurse Practitioner 363LN0005X 212646 LA Primary

Addresses

Primary practice location

500 Rue de la Vie St Ste 405
Baton Rouge, LA 70817-5128

Mailing address

1117 Dickory Ave Apt G370
River Ridge, LA 70123-2297
Phone (205) 249-4442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200805001569 LA Practitioner - Nurse Practitioner 0648695841 Reassigns benefits to 1 organization
I20260218002257 TX Practitioner - Nurse Practitioner 0648695841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1102 Bates Ave
Houston, TX 77030-2698

PO Box
Dallas, TX 75284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
121794TXMDSpeech-Language Pathologist
212646LAMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Children'S Physician Group CurrentSince Feb 10, 2026 Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 27, 2020 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jul 27, 2020 Accepting new patients
Baton Rouge Neonatal Associates, Inc. PastSince Jan 24, 2021 Accepting new patients
Baton Rouge Neonatal Associates, Inc. Neonatal, Critical Care PastSince Jan 24, 2021 Accepting new patients

Locations

2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650

2700 Napoleon Ave
#4
New Orleans, LA 70115

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1194346916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 DICKORY AVE APT G370",
            "city": "RIVER RIDGE",
            "state": "LA",
            "postal_code": "701232297",
            "telephone_number": "205-249-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE ST STE 405",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175128",
            "telephone_number": "225-928-2555",
            "fax_number": "225-929-9685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARHAM",
        "first_name": "LAVONNA",
        "credential": "NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-04",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "LA",
            "license": "212646",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "LA",
            "license": "212646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.