Individual provider Active NPI

Judy Carol Edo, FNP/PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1588165575
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP09477 Issued in LA
Practice address
7715 Tom Dr Ste C
Baton Rouge, LA 70806-2321
Phone
(225) 256-4764
NPI assigned
Feb 23, 2018
Last updated
Feb 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP09477 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP09477 LA Primary

Addresses

Primary practice location

7715 Tom Dr Ste C
Baton Rouge, LA 70806-2321

Mailing address

7715 Tom Dr Ste C
Baton Rouge, LA 70806-2321
Phone (225) 256-4764

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
I20180424001575 LA Practitioner - Nurse Practitioner 0941563092 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09477LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Nov 17, 2024 Accepting new patients
Jovin Healthcare and Behavioral Services LLC Psychiatric/Mental Health CurrentSince Nov 19, 2023 Accepting new patients
Vpa PC CurrentSince Nov 17, 2024 Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
Jovin Transportation LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

7715 Tom Dr
Baton Rouge, LA 70806
Phone (225) 923-3660

7715 Tom Dr
Ste C
Baton Rouge, LA 70806
Phone (225) 256-4764

201 Victory Blvd
Ste 200
Monroe, LA 71203
Phone (877) 917-7010

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, 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": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1588165575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 TOM DR STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708062321",
            "telephone_number": "225-256-4764",
            "fax_number": "225-960-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7715 TOM DR STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708062321",
            "telephone_number": "225-256-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDO",
        "first_name": "JUDY",
        "middle_name": "CAROL",
        "name_prefix": "Mrs.",
        "credential": "FNP/PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-23",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09477",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP09477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.