Active NPI
Nyemade A Rambo, M.D.
- Pediatric Critical Care Medicine Physician
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 323700
- Practice address
- 8200 Constantin Blvd Ste 200
Baton Rouge, LA 70809-3481 - Phone
- (225) 709-8633
- Fax
- (225) 098-6347
- NPI assigned
- Jun 26, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 3237000 | LA | |
| Pediatrics Physician | 208000000X | PENDING | LA | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 323700 | LA | Primary |
Addresses
Primary practice location
8200 Constantin Blvd Ste 200
Baton Rouge, LA 70809-3481
Mailing address
8200 Constantin Blvd Ste 200
Baton Rouge, LA 70809-3481
Phone (225) 709-8633
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PENDING | LA | MD | Behavioral Analyst |
| 3237000 | LA | MD | Pediatrics Physician |
| 323700 | LA | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baton Rouge General Medical Center | Current | Accepting new patients | |
| Pediatric Intensivists of la, LLC | Current | Accepting new patients | |
| Baton Rouge General Medical Center | Current | Accepting new patients | |
| Baton Rouge General Medical Center | Pediatric Critical Care Medicine | Current | Accepting new patients |
| Our Lady of the Lake Hospital Inc. | Past | Accepting new patients |
Locations
8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000
7777 Hennessy Blvd
Ste 103
Baton Rouge, LA 70808
Phone (225) 215-2255
8200 Constantin Blvd
Ste 200
Baton Rouge, LA 70809
Phone (225) 709-8633
Interoperability endpoints
- https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/R4/
Organizations & group practices 5
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663200000000",
"number": "1578978706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8200 CONSTANTIN BLVD STE 200",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093481",
"telephone_number": "225-709-8633",
"fax_number": "225-709-8634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 CONSTANTIN BLVD STE 200",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708093481",
"telephone_number": "225-709-8633",
"fax_number": "225-098-6347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAMBO",
"first_name": "NYEMADE",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-26",
"last_updated": "2022-09-15",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "3237000",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "PENDING",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "LA",
"license": "323700",
"primary": true
}
],
"identifiers": [],
"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 Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.