Active NPI
Hunnicomb of Wellness & Beauty
- Family Medicine Physician
- Baton Rouge, LA
National Provider Identifier
1558073957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- HUNNICOMB OF WELLNESS & BEAUTY
- Practice address
- 301 Main St Ste 2200
Baton Rouge, LA 70801-0014 - Phone
- (504) 275-9857
- Fax
- (504) 910-3075
- NPI assigned
- Dec 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terrica Williams, FNP
- Title
- Manager
- Phone
- (505) 275-9857
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
301 Main St Ste 2200
Baton Rouge, LA 70801-0014
Mailing address
301 Main St Ste 2200
Baton Rouge, LA 70801-0014
Phone (504) 275-9857
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2378821 | Medicaid | LA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671148800000",
"number": "1558073957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 MAIN ST STE 2200",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708010014",
"telephone_number": "504-275-9857",
"fax_number": "504-910-3075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 MAIN ST STE 2200",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708010014",
"telephone_number": "504-275-9857",
"fax_number": "504-910-3075"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUNNICOMB OF WELLNESS & BEAUTY",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-16",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "TERRICA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "505-275-9857",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2378821",
"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 Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.