Active NPI
Robert V Blanche, M.D.
- Psychiatry Physician
- Baton Rouge, LA
National Provider Identifier
1457575334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 16158
- Practice address
- 7865 Jefferson Hwy
Ste D
Baton Rouge, LA 70809-1384 - Phone
- (225) 928-2468
- Fax
- (225) 928-2498
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 16158 | LA | Primary |
Addresses
Primary practice location
7865 Jefferson Hwy
Ste D
Baton Rouge, LA 70809-1384
Mailing address
7865 Jefferson Hwy
Ste D
Baton Rouge, LA 70809-1384
Phone (225) 928-2468
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1353086 | Medicaid | LA |
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16158 | LA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seaside Health System, LLC | Psychiatry | Current | Accepting new patients |
| Seaside Health System, LLC | Current | Accepting new patients |
Locations
4363 Convention St
Baton Rouge, LA 70806
Phone (225) 300-4376
Organizations & group practices 2
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.
-
- Psychiatric Hospital
- Baton Rouge, LA
- NPI 1720345663
-
- Psychiatry Physician
- Baton Rouge, LA
- NPI 1639547243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585699200000",
"number": "1457575334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7865 JEFFERSON HWY",
"address_2": "STE D",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708091384",
"telephone_number": "225-928-2468",
"fax_number": "225-928-2498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7865 JEFFERSON HWY",
"address_2": "STE D",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708091384",
"telephone_number": "225-928-2468",
"fax_number": "225-928-2498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANCHE",
"first_name": "ROBERT",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "LA",
"license": "16158",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1353086",
"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 Apr 1, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.