Active NPI
Whitney O Allen, MD
- Pediatrics Physician
- Gonzales, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 335365
- Practice address
- 1024 E Ascension Complex Blvd
Gonzales, LA 70737-4263 - Phone
- (225) 644-4582
- Fax
- (225) 644-2822
- NPI assigned
- Apr 20, 2020
- Last updated
- May 30, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 335365 | LA | Primary |
Addresses
Primary practice location
1024 E Ascension Complex Blvd
Gonzales, LA 70737-4263
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 644-4582
Other practice location 1
8300 Constantin Blvd
Baton Rouge, LA 70809-3489
Phone (225) 374-1316
Other practice location 2
8415 Goodwood Blvd Ste 202
Baton Rouge, LA 70806-7851
Phone (225) 765-8013
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of the Lake Physician Group LLC | Pediatrics | Current | Accepting new patients |
| Our Lady of the Lake Physician Group LLC | Past | Accepting new patients |
Locations
5439 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-2280
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011
8300 Constantin Blvd
Baton Rouge, LA 70809
Phone (225) 374-1410
8300 Constantin Blvd
Fl 2
Baton Rouge, LA 70809
Phone (225) 374-1316
8415 Goodwood Blvd
Ste 202
Baton Rouge, LA 70806
Phone (225) 765-8013
214 Clinic Dr
Donaldsonvlle, LA 70346
Phone (225) 473-8151
Interoperability endpoints
- wallen839987@direct.casso.us.com
Organizations & group practices 2
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.
-
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- Baton Rouge, LA
- NPI 1033494943
Pediatrics
-
dba OLOL Physician Surgical Specialty
- Hematology & Oncology Physician
- Baton Rouge, LA
- NPI 1184671455
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748563200000",
"number": "1588284558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166038",
"telephone_number": "225-644-4582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1024 E ASCENSION COMPLEX BLVD",
"city": "GONZALES",
"state": "LA",
"postal_code": "707374263",
"telephone_number": "225-644-4582",
"fax_number": "225-644-2822"
}
],
"practiceLocations": [
{
"address_1": "8300 Constantin Blvd",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708093489",
"country_code": "US",
"telephone_number": "225-374-1316",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8415 Goodwood Blvd Ste 202",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708067851",
"country_code": "US",
"telephone_number": "225-765-8013",
"fax_number": "225-765-2033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALLEN",
"first_name": "WHITNEY",
"middle_name": "O",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-20",
"last_updated": "2025-05-30",
"certification_date": "2025-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "335365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gonzales, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.