Active NPI
Dana M Karisny, PA
- Physician Assistant
- Baton Rouge, LA
National Provider Identifier
1376894980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 200530
- Practice address
- 7777 Hennessy Blvd Ste 701
Baton Rouge, LA 70808-4370 - Phone
- (225) 765-5864
- Fax
- (225) 765-2013
- NPI assigned
- Sep 21, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 200530 | LA | Primary |
Addresses
Primary practice location
7777 Hennessy Blvd Ste 701
Baton Rouge, LA 70808-4370
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 526-0010
Other practice location 1
211 4th St
Alexandria, LA 71301-8421
Phone (800) 893-9698
Other practice location 2
211 4th St
Alexandria, LA 71301-8421
Phone (800) 893-9698
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200530 | LA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529625600000",
"number": "1376894980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166038",
"telephone_number": "225-526-0010",
"fax_number": "225-765-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 HENNESSY BLVD STE 701",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708084370",
"telephone_number": "225-765-5864",
"fax_number": "225-765-2013"
}
],
"practiceLocations": [
{
"address_1": "211 4th St",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "LA",
"postal_code": "713018421",
"country_code": "US",
"telephone_number": "800-893-9698",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "211 4th St",
"address_purpose": "LOCATION",
"city": "Alexandria",
"state": "LA",
"postal_code": "713018421",
"country_code": "US",
"telephone_number": "800-893-9698",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KARISNY",
"first_name": "DANA",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-21",
"last_updated": "2018-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "200530",
"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 Jun 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.