Individual provider Active NPI

Emily Cleland

  • Psychiatric/Mental Health Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1518506922
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
208546 Issued in LA
Practice address
9270 Siegen LN BLDG 402
Baton Rouge, LA 70810-0933
Phone
(225) 953-8250
NPI assigned
Jan 2, 2020
Last updated
Jan 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 208546 LA Primary

Addresses

Primary practice location

9270 Siegen LN BLDG 402
Baton Rouge, LA 70810-0933

Mailing address

9270 Siegen LN BLDG 402
Baton Rouge, LA 70810-0933
Phone (225) 953-8250

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
I20210823002155 LA Practitioner - Nurse Practitioner 8325443773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Khan Psychiatry LLCGroup PAC ID 7517369549, 5 clinicians

Practice addresses (Care Compare)

8416 Cumberland PL
Baton Rouge, LA 70806-6543
Phone (225) 953-8250

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Khan Psychiatry LLC CurrentSince Aug 1, 2021 Accepting new patients
Axis One Behavioral Solutions a Professional Medical Corporation PastSince Jan 5, 2020 Accepting new patients

Locations

778 Chevelle Dr
Baton Rouge, LA 70806
Phone (225) 218-6774

8416 Cumberland Pl
Baton Rouge, LA 70806
Phone (225) 408-6060

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1577923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1518506922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9270 SIEGEN LN BLDG 402",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100933",
            "telephone_number": "225-953-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9270 SIEGEN LN BLDG 402",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100933",
            "telephone_number": "225-953-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLELAND",
        "first_name": "EMILY",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-02",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "208546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.