Active NPI
Marshon M Isaac Sr.
- Family Nurse Practitioner
- Baton Rouge, LA
National Provider Identifier
1366057325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 214812
- Practice address
- 1857 Wooddale Blvd
Baton Rouge, LA 70806-1510 - Phone
- (800) 640-3451
- NPI assigned
- Sep 15, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 214812 | LA | Primary |
Addresses
Primary practice location
1857 Wooddale Blvd
Baton Rouge, LA 70806-1510
Mailing address
14470 Stonegate Manor Dr
Gonzales, LA 70737-7593
Other practice location 1
3905 Highway 75
Saint Gabriel, LA 70776-4303
Phone (225) 642-1322
Other practice location 2
1731 Lutcher Ave
Lutcher, LA 70071-5151
Phone (225) 390-0731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Baton Rouge, LA 70806
Phone (800) 640-3451
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214812 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turnwell Mental Health of South Dakota, PC | Current | Accepting new patients | |
| Coastal Pathways LLC | Current | Accepting new patients | |
| Lake Urgent Care Ascension LLC | Past | Accepting new patients |
Locations
11188 Florida Blvd
Baton Rouge, LA 70815
Phone (225) 275-7570
Organizations & group practices 4
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.
-
- Non-emergency Medical Transport (VAN)
- Gonzales, LA
- NPI 1144893538
-
- Urgent Care Clinic/Center
- Prairieville, LA
- NPI 1104162221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1366057325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14470 STONEGATE MANOR DR",
"city": "GONZALES",
"state": "LA",
"postal_code": "707377593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1857 WOODDALE BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708061510",
"telephone_number": "800-640-3451"
}
],
"practiceLocations": [
{
"address_1": "3905 Highway 75",
"address_purpose": "LOCATION",
"city": "Saint Gabriel",
"state": "LA",
"postal_code": "707764303",
"country_code": "US",
"telephone_number": "225-642-1322",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1731 Lutcher Ave",
"address_purpose": "LOCATION",
"city": "Lutcher",
"state": "LA",
"postal_code": "700715151",
"country_code": "US",
"telephone_number": "225-390-0731",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISAAC",
"first_name": "MARSHON",
"middle_name": "M",
"name_suffix": "Sr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-15",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "214812",
"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 Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.