Individual provider Active NPI

Ashton C Vidrine, APRN, PMHNP-BC, LMSW

  • Psychiatric/Mental Health Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1487402855
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
202801 Issued in LA
Practice address
689 E Airport Ave Ste 3
Baton Rouge, LA 70806-6557
Phone
(225) 268-1412
NPI assigned
May 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 12373 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202801 LA Primary

Addresses

Primary practice location

689 E Airport Ave Ste 3
Baton Rouge, LA 70806-6557

Mailing address

689 E Airport Ave Ste 3
Baton Rouge, LA 70806-6557
Phone (225) 268-1412

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250314002783 LA Practitioner - Psychiatry 8123540549 Reassigns benefits to 1 organization
Practice locations: Baton Rouge, LA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12373LAMDClinical Social Worker
202801LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vidrine Psychiatry LLC Clinical CurrentSince Jan 9, 2025 Accepting new patients

Locations

689 E Airport Ave
Ste 1
Baton Rouge, LA 70806
Phone (225) 268-1412

689 E Airport Ave
Ste 3
Baton Rouge, LA 70806
Phone (225) 268-1412

Organizations & group practices 1

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": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1487402855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 E AIRPORT AVE STE 3",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066557",
            "telephone_number": "225-268-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 E AIRPORT AVE STE 3",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066557",
            "telephone_number": "225-268-1412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDRINE",
        "first_name": "ASHTON",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "APRN, PMHNP-BC, LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-09",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "12373",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "202801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.