Red River

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

12883 Issued in LA

Legal business name

RED RIVER

Practice address

11832 Newcastle Ave
Baton Rouge, LA 70816-8997

Phone

(225) 244-3650

NPI assigned

Nov 22, 2016

Organization subpart

No

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

Authorized official

Name

Ashtin Anio, CSW

Title

Mentall Health Professional

Phone

(225) 244-3650

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1659814689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6683 SANDY CREEK LN",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11832 NEWCASTLE AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708168997",
            "telephone_number": "225-244-3650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED RIVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "ANIO",
        "authorized_official_first_name": "ASHTIN",
        "authorized_official_title_or_position": "MENTALL HEALTH PROFESSIONAL",
        "authorized_official_telephone_number": "225-244-3650",
        "authorized_official_credential": "CSW"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "LA",
            "license": "12883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Preferred Provider Organization in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.