Lake Crescent Health LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

LAKE CRESCENT HEALTH LLC

Practice address

301 North Main Street
Suite 2200
Baton Rouge, LA 70801

Phone

(504) 319-6078

Fax

(225) 644-6013

NPI assigned

Nov 18, 2024

Organization subpart

No

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

Authorized official

Name

Lakeisha Mack Long, FNP-BCNPI 1902544976

Title

Owner

Phone

(225) 831-6111

Specialties & licenses 1

Addresses

Other names 1

• Lake Crescent Health Consulting, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lakeisha Mack Long, DNP, FNP-BC, CME

  • Family Nurse Practitioner
  • Baton Rouge, LA
  • NPI 1902544976
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1255156113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82",
            "city": "SORRENTO",
            "state": "LA",
            "postal_code": "707780082",
            "telephone_number": "225-831-6111",
            "fax_number": "225-644-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 NORTH MAIN STREET",
            "address_2": "SUITE 2200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70801",
            "telephone_number": "504-319-6078",
            "fax_number": "225-644-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE CRESCENT HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "LAKEISHA",
        "authorized_official_middle_name": "MACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-831-6111",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Crescent Health Consulting, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Madison Michelle Lahaye, OT
• Lauren Peck Laiche, APRN-CNP, FNP-C
• Firdous Laique, M.D.
• Lak Medical Supplies and Services Inc.
• Lak Medical Supply and Sevices
• Lake Wellness Center, LLC
• Lakewood Quarters Assisted 8585 Tenant, LLC (Lakewood Quarters Assisted Living)
• Lakewood Quarters Rehab 8225 Tenant, LLC (Lakewood Quarters Nursing & Rehabilitation Center)
• Mounika Lakhmalla
• Michael Lala, DDS

• 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 Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.