Organization Active NPI

Hunnicomb of Wellness & Beauty

  • Family Medicine Physician
  • Baton Rouge, LA
National Provider Identifier
1558073957
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Dec 16, 2022

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2378821MedicaidLA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.