Active NPI
Vidrine Psychiatry LLC
- Psychiatric/Mental Health Nurse Practitioner
- Baton Rouge, LA
National Provider Identifier
1245036540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- VIDRINE PSYCHIATRY LLC
- Practice address
- 689 E Airport Ave Ste 1
Baton Rouge, LA 70806-6557 - Phone
- (225) 268-1412
- NPI assigned
- Feb 19, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ashton C Vidrine, APRN, PMHNP-BC, LMSW
- Title
- Owner
- Phone
- (225) 268-1412
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
689 E Airport Ave Ste 1
Baton Rouge, LA 70806-6557
Mailing address
689 E Airport Ave Ste 1
Baton Rouge, LA 70806-6557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
689 E Airport Ave
Ste 1
Baton Rouge, LA 70806
Phone (225) 268-1412
689 E Airport Ave
Ste 3
Baton Rouge, LA 70806
Phone (225) 268-1412
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Baton Rouge, LA
- NPI 1487402855
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739923200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740009600000",
"number": "1245036540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "689 E AIRPORT AVE STE 1",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708066557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "689 E AIRPORT AVE STE 1",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708066557",
"telephone_number": "225-268-1412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIDRINE PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-19",
"last_updated": "2025-02-20",
"certification_date": "2025-02-20",
"status": "A",
"authorized_official_last_name": "VIDRINE",
"authorized_official_first_name": "ASHTON",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "225-268-1412",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "APRN, PMHNP-BC, LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"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 Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.