Active NPI
Anthony Robert Mancuso Jr., R.N.
- Orthopedic Registered Nurse
- Baton Rouge, LA
National Provider Identifier
1265716435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Registered Nurse
- License
- RN080691
- Practice address
- 4682 Drusilla Dr
Baton Rouge, LA 70809-6947 - Phone
- (225) 603-6620
- NPI assigned
- Oct 5, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Registered Nurse | 163WX0800X | RN080691 | LA | Primary |
Addresses
Primary practice location
4682 Drusilla Dr
Baton Rouge, LA 70809-6947
Mailing address
4682 Drusilla Dr
Baton Rouge, LA 70809-6947
Phone (225) 603-6620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN080691 | LA | MD | Orthopedic Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1265716435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4682 DRUSILLA DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708096947",
"telephone_number": "225-603-6620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4682 DRUSILLA DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708096947",
"telephone_number": "225-603-6620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCUSO",
"first_name": "ANTHONY",
"middle_name": "ROBERT",
"name_suffix": "Jr.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-05",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0800X",
"taxonomy_group": "",
"desc": "Registered Nurse, Orthopedic",
"state": "LA",
"license": "RN080691",
"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 Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.