Individual provider Active NPI

Katherine Whittington

  • Physician Assistant
  • Baton Rouge, LA
National Provider Identifier
1508474958
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
324111 Issued in LA
Practice address
12525 Perkins Rd
Baton Rouge, LA 70810-1907
Phone
(225) 819-8857
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 324111 LA Primary

Addresses

Primary practice location

12525 Perkins Rd
Baton Rouge, LA 70810-1907

Mailing address

778 Albert Hart Dr
Baton Rouge, LA 70808-5805
Phone (225) 754-2060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200828000124 LA Practitioner - Physician Assistant 1759708308 Reassigns benefits to 2 organizations
I20210324002548 FL Practitioner - Physician Assistant 1759708308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Convenient Care LLCGroup PAC ID 1153306816, 36 clinicians

Practice addresses (Care Compare)

12525 Perkins Rd
Baton Rouge, LA 70810-1907

13686 Coursey Blvd
Baton Rouge, LA 70817-1303
Phone (225) 246-8000

31985 La Hwy 16
Denham Springs, LA 70726-1462
Phone (225) 791-8800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
324111LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Convenient Care LLC CurrentSince Aug 13, 2020 Accepting new patients
Convenient Care LLC CurrentSince Aug 13, 2020 Accepting new patients
Lake Urgent Care Ascension LLC CurrentSince Nov 22, 2021 Accepting new patients
Lake Urgent Care Ascension LLC CurrentSince Nov 22, 2021 Accepting new patients
Total Urgent Care and Occupational Medicine Past Accepting new patients

Locations

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352

123 Lee Dr
Baton Rouge, LA 70808
Phone (225) 302-5757

1776 N Airline Hwy
Ste A
Gonzales, LA 70737
Phone (225) 647-4988

40546 Highway 42
Prairieville, LA 70769
Phone (225) 744-4988

14350 Highway 73
Prairieville, LA 70769
Phone (225) 313-3930

10714 Highway 431
Saint Amant, LA 70774
Phone (225) 644-0005

Organizations & group practices 8

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": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1508474958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "778 ALBERT HART DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708085805",
            "telephone_number": "225-754-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12525 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101907",
            "telephone_number": "225-819-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTINGTON",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "324111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.