Individual provider Active NPI

Rachel Sue Stephenson, NP

  • Pediatric Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1477950798
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP07750 Issued in LA
Practice address
888 Tara Blvd
Suite F
Baton Rouge, LA 70806-7818
Phone
(225) 273-5995
NPI assigned
Dec 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP07750 LA Primary

Addresses

Primary practice location

888 Tara Blvd
Suite F
Baton Rouge, LA 70806-7818

Mailing address

888 Tara Blvd
Suite F
Baton Rouge, LA 70806-7818
Phone (225) 273-5995

Other names 1

  • Rachel Sue Mayer Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220601000117 LA Practitioner - Nurse Practitioner 5799163937 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HIV-AIDS Alliance for Region Two Current Accepting new patients
HIV-AIDS Alliance for Region Two CurrentSince Feb 21, 2022 Accepting new patients
Red Stick Pediatrics Past Accepting new patients
HIV-AIDS Alliance for Region Two Past Accepting new patients
HIV-AIDS Alliance for Region Two PastSince Aug 18, 2024 Accepting new patients

Locations

3801 North Blvd
Baton Rouge, LA 70806
Phone (225) 381-6620

3849 North Blvd
Baton Rouge, LA 70806
Phone (225) 342-9368

4707 Denham St
Rm C205
Baton Rouge, LA 70805

15755 Jefferson Hwy
Rm 537
Baton Rouge, LA 70817

5601 Upton Dr
Rm D117
Baton Rouge, LA 70809

4550 North Blvd
Ste 250
Baton Rouge, LA 70806
Phone (225) 927-1269

5100 Greenwell Springs Rd
Baton Rouge, LA 70806

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1477950798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 TARA BLVD",
            "address_2": "SUITE F",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067818",
            "telephone_number": "225-273-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 TARA BLVD",
            "address_2": "SUITE F",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067818",
            "telephone_number": "225-273-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "RACHEL",
        "middle_name": "SUE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-02",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "LA",
            "license": "AP07750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "MAYER",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.