Individual provider Active NPI

Angelia Hicks Teague-Priddy, NP

  • Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1558775023
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP09293 Issued in LA
Practice address
7865 Jefferson Hwy Ste D
Baton Rouge, LA 70809-1384
Phone
(225) 529-2207
Fax
(225) 529-2264
NPI assigned
Jun 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R878930 MS
Child & Adolescent Psychiatry Physician 2084P0804X AP09293 LA
Nurse Practitioner 363L00000X AP09293 LA Primary

Addresses

Primary practice location

7865 Jefferson Hwy Ste D
Baton Rouge, LA 70809-1384

Mailing address

7865 Jefferson Hwy Ste D
Baton Rouge, LA 70809-1384
Phone (225) 529-2207

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
I20180201000944 LA Practitioner - Nurse Practitioner 1557670361 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7865 Jefferson Hwy
Suite D
Baton Rouge, LA 70809-1384
Phone (225) 529-2207

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09293LAMDChild & Adolescent Psychiatry Physician
R878930MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Foucher Emergency Group LLC Nurse Practitioner CurrentSince Nov 9, 2019 Accepting new patients
Seaside Health System, LLC Current Accepting new patients
Seaside Health System, LLC CurrentSince Dec 1, 2020 Accepting new patients
Mercys Healing Child & Adolescent Psychiatry CurrentSince Nov 1, 2023 Accepting new patients

Locations

4363 Convention St
Baton Rouge, LA 70806
Phone (225) 300-4376

7865 Jefferson Hwy
Ste D
Baton Rouge, LA 70809
Phone (225) 529-2207

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

5620 Read Blvd
New Orleans, LA 70127
Phone (504) 241-2664

Organizations & group practices 4

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": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1558775023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7865 JEFFERSON HWY STE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091384",
            "telephone_number": "225-529-2207",
            "fax_number": "225-529-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7865 JEFFERSON HWY STE D",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091384",
            "telephone_number": "225-529-2207",
            "fax_number": "225-529-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEAGUE-PRIDDY",
        "first_name": "ANGELIA",
        "middle_name": "HICKS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R878930",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "LA",
            "license": "AP09293",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP09293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.