On -Demand Healthcare of Louisiana LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

ON -DEMAND HEALTHCARE OF LOUISIANA LLC

Practice address

12109 Hampton Village Ave
Baton Rouge, LA 70818-5741

Phone

(225) 505-9869

NPI assigned

Sep 22, 2020

Organization subpart

No

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

Authorized official

Name

Sherletha Nelson, NP

Title

Owner

Phone

(225) 572-7273

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1629684923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12109 HAMPTON VILLAGE AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708185741",
            "telephone_number": "225-505-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12109 HAMPTON VILLAGE AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708185741",
            "telephone_number": "225-505-9869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON -DEMAND HEALTHCARE OF LOUISIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "SHERLETHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-572-7273",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.