Organization Active NPI

CCP Enterprises, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1659667301
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP0441 Issued in LA
Legal business name
CCP ENTERPRISES, LLC
Practice address
19111 Bellerive CT
Baton Rouge, LA 70809-6736
Phone
(225) 281-0324
Fax
(225) 755-7482
NPI assigned
Jun 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
Christy Cook-Perry, APRN
Title
NP
Phone
(225) 281-0324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X AP0441 LA Primary

Addresses

Primary practice location

19111 Bellerive CT
Baton Rouge, LA 70809-6736

Mailing address

19111 Bellerive Court
Baton Rouge, LA 70809
Phone (225) 281-0324

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1659667301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19111 BELLERIVE COURT",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "70809",
            "telephone_number": "225-281-0324",
            "fax_number": "225-755-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19111 BELLERIVE CT",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708096736",
            "telephone_number": "225-281-0324",
            "fax_number": "225-755-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCP ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "COOK-PERRY",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "225-281-0324",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP0441",
            "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 Jun 21, 2011; 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.