Active NPI
Red Stick Emergency Group LLC
- Emergency Medicine Physician
- Baton Rouge, LA
National Provider Identifier
1275705998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- RED STICK EMERGENCY GROUP LLC
- Practice address
- 3600 Florida Blvd
Baton Rouge, LA 70806-3842 - Phone
- (225) 387-7000
- NPI assigned
- Apr 2, 2008
- Last updated
- Mar 23, 2022
- 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
- Lisha C Falk
- Title
- VP of Contracting
- Phone
- (337) 609-1221
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | NU | ||
| Nurse Practitioner | 363L00000X | NU | ||
| Emergency Medicine Physician | 207P00000X | NU | Primary |
Addresses
Primary practice location
3600 Florida Blvd
Baton Rouge, LA 70806-3842
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1054534 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
14105 Highway 73
#100
Prairieville, LA 70769
Phone (225) 402-2600
Practitioners & affiliated clinicians
Practitioners 163
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.
-
- Nurse Practitioner
- Baton Rouge, LA
- NPI 1295366219
-
- Family Nurse Practitioner
- Prairieville, LA
- NPI 1366194284
-
- Emergency Medicine Physician
- Baton Rouge, LA
- NPI 1952096422
-
- Emergency Medicine Physician
- Baton Rouge, LA
- NPI 1639533755
-
- Emergency Medicine Physician
- Baton Rouge, LA
- NPI 1538101183
-
- Family Nurse Practitioner
- Baton Rouge, LA
- NPI 1508518960
-
- Emergency Medicine Physician
- Baton Rouge, LA
- NPI 1063162683
-
- Emergency Medicine Physician
- Baton Rouge, LA
- NPI 1487281846
-
- Emergency Medicine Physician
- Baton Rouge, LA
- NPI 1487186565
-
- Emergency Medicine Physician
- Baton Rouge, LA
- NPI 1588981955
-
- Emergency Medicine Physician
- Baton Rouge, LA
- NPI 1497767206
-
- Emergency Medicine Physician
- Baton Rouge, LA
- NPI 1134757909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647993600000",
"number": "1275705998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "800-893-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 FLORIDA BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708063842",
"telephone_number": "225-387-7000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RED STICK EMERGENCY GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-02",
"last_updated": "2022-03-23",
"certification_date": "2021-05-06",
"status": "A",
"authorized_official_last_name": "FALK",
"authorized_official_first_name": "LISHA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "VP OF CONTRACTING",
"authorized_official_telephone_number": "337-609-1221"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1054534",
"state": "LA"
}
],
"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 Mar 23, 2022; 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.