Active NPI
Cutting Edge Healthcare
- Skilled Nursing Facility
- Baton Rouge, LA
National Provider Identifier
1417232307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- RN106698-AP06667
- Legal business name
- CUTTING EDGE HEALTHCARE
- Practice address
- 5316 Trents PL
Baton Rouge, LA 70817-1332 - Phone
- (225) 615-7050
- NPI assigned
- Oct 11, 2011
- 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
- Dr. William Lucky, MD
- Title
- Collaborating Physician
- Phone
- (813) 952-8296
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | RN106698-AP06667 | LA | |
| Skilled Nursing Facility | 314000000X | RN106698-AP06667 | LA | Primary |
Addresses
Primary practice location
5316 Trents PL
Baton Rouge, LA 70817-1332
Mailing address
5316 Trents PL
Baton Rouge, LA 70817-1332
Phone (225) 615-7050
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318291200000",
"number": "1417232307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5316 TRENTS PL",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708171332",
"telephone_number": "225-615-7050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5316 TRENTS PL",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708171332",
"telephone_number": "225-615-7050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUTTING EDGE HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-11",
"last_updated": "2011-10-11",
"status": "A",
"authorized_official_last_name": "LUCKY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "COLLABORATING PHYSICIAN",
"authorized_official_telephone_number": "813-952-8296",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "3104A0630X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
"state": "LA",
"license": "RN106698-AP06667",
"primary": false
},
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "LA",
"license": "RN106698-AP06667",
"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 11, 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.